| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $812.83 | $812.83 | |
Aetna
| Professional | $28.84 | $30.20 | $107.15 | |
BCBS
| Facility | $85.11 | $85.11 | $109.65 | |
Cigna
| Professional | $30.90 | $30.90 | $30.90 | |
United
| Professional | $30.20 | $30.20 | $69.18 |