| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,728.00 | $1,728.00 | $1,728.00 | |
Aetna
| Professional | $16.95 | $53.37 | $129.49 | |
BCBS
| Professional | $26.15 | $56.25 | $98.66 | |
Cigna
| Professional | $74.09 | $74.09 | $74.09 | |
United
| Professional | $42.49 | $67.40 | $113.68 |