| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $891.25 | $891.25 | |
Aetna
| Professional | $41.69 | $83.18 | $630.96 | |
BCBS
| Professional | $72.44 | $72.44 | $218.78 | |
Cigna
| Professional | $39.81 | $97.72 | $162.18 | |
United
| Professional | $58.88 | $85.11 | $162.18 |