| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,306.69 | $1,306.69 | $1,306.69 | |
Aetna
| Professional | $129.62 | $129.62 | $129.62 | |
BCBS
| Professional | $137.72 | $162.02 | $162.02 | |
Cigna
| Professional | $137.72 | $137.72 | $137.72 | |
United
| Professional | $153.91 | $153.91 | $153.91 |