| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $624.82 | $624.82 | $638.82 | |
Aetna
| Professional | $624.82 | $624.82 | $643.97 | |
BCBS
| Professional | $1,320.00 | $2,368.00 | $2,368.00 | |
Cigna
| Professional | $830.32 | $830.79 | $1,652.65 | |
United
| Professional | $767.70 | $1,138.33 | $2,455.69 |