| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $572.85 | $572.85 | $572.85 | |
Aetna
| Professional | $89.66 | $89.66 | $89.66 | |
BCBS
| Professional | $95.27 | $112.08 | $112.08 | |
Cigna
| Professional | $95.27 | $95.27 | $95.27 | |
United
| Professional | $100.00 | $100.00 | $100.00 |