| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,073.60 | $2,073.60 | $2,073.60 | |
Aetna
| Professional | $35.56 | $45.05 | $58.14 | |
BCBS
| Professional | $36.40 | $42.84 | $42.84 | |
Cigna
| Professional | $88.54 | $88.54 | $88.54 | |
United
| Professional | $42.84 | $42.84 | $42.84 |