| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,989.30 | $1,989.30 | $1,989.30 | |
Aetna
| Professional | $28.80 | $28.80 | $28.80 | |
BCBS
| Professional | $30.60 | $36.00 | $36.00 | |
Cigna
| Professional | $30.60 | $30.60 | $30.60 | |
United
| Professional | $30.00 | $30.00 | $30.00 |