| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $2,691.53 | $4,365.16 | |
Aetna
| Professional | $57.54 | $97.72 | $112.20 | |
BCBS
| Facility | $0.02 | $245.47 | $660.69 | |
Cigna
| Facility | $398.11 | $398.11 | $398.11 | |
United
| Facility | $208.93 | $512.86 | $1,258.93 | |
United
| Professional | $83.18 | $109.65 | $213.80 |