| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $795.00 | $795.00 | $795.00 | |
Aetna
| Professional | $795.00 | $795.00 | $795.00 | |
BCBS
| Professional | $993.75 | $1,232.00 | $2,544.00 | |
Cigna
| Professional | $913.56 | $1,141.95 | $1,709.37 | |
United
| Professional | $333.90 | $333.90 | $795.00 |