| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,890.45 | $3,890.45 | $3,890.45 | |
Aetna
| Professional | $22.91 | $61.66 | $154.88 | |
BCBS
| Facility | $131.83 | $147.91 | $181.97 | |
BCBS
| Professional | $25.70 | $63.10 | $131.83 | |
Cigna
| Professional | $26.30 | $77.62 | $154.88 | |
United
| Professional | $24.55 | $67.61 | $120.23 |