| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,445.44 | $1,445.44 | $1,445.44 | |
Aetna
| Professional | $34.67 | $44.67 | $2,041.74 | |
BCBS
| Professional | $79.43 | $79.43 | $79.43 | |
Cigna
| Professional | $1,380.38 | $1,995.26 | $2,398.83 | |
United
| Professional | $50.12 | $83.18 | $100.00 |