| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $1,995.26 | $1,995.26 | |
Aetna
| Professional | $28.18 | $36.31 | $257.04 | |
BCBS
| Professional | $30.90 | $36.31 | $36.31 | |
Cigna
| Professional | $30.90 | $30.90 | $30.90 | |
United
| Professional | $30.20 | $30.20 | $30.20 |