| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $761.10 | $761.10 | $761.10 | |
Aetna
| Professional | 55 | $127.71 | $127.71 | $127.71 |
BCBS
| Professional | $2,492.00 | $4,029.00 | $4,835.00 | |
Cigna
| Professional | $892.21 | $1,204.48 | $1,739.81 | |
United
| Facility | $5,188.00 | $5,188.00 | $18,767.00 | |
United
| Professional | $1,172.40 | $1,723.91 | $3,217.48 |