| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $83.18 | $1,071.52 | |
Aetna
| Professional | $100.00 | $537.03 | $1,071.52 | |
BCBS
| Professional | $758.58 | $933.25 | $933.25 | |
Cigna
| Professional | $812.83 | $812.83 | $812.83 | |
United
| Professional | $758.58 | $1,288.25 | $2,511.89 |