| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.20 | $64.20 | $64.20 | |
Aetna
| Professional | $64.20 | $73.80 | $114.98 | |
BCBS
| Facility | $0.02 | $0.02 | $35.20 | |
Cigna
| Professional | $785.24 | $785.24 | $785.24 | |
United
| Professional | $1,438.66 | $1,438.66 | $1,438.66 |