| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,011.87 | $5,011.87 | $5,011.87 | |
Aetna
| Professional | $102.33 | $158.49 | $371.54 | |
BCBS
| Professional | $177.83 | $177.83 | $208.93 | |
Cigna
| Professional | $102.33 | $169.82 | $331.13 | |
United
| Professional | $134.90 | $204.17 | $416.87 |