| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.40 | $58.40 | $23,444.42 | |
Aetna
| Professional | $58.40 | $58.40 | $89.34 | |
BCBS
| Professional | $545.53 | $641.79 | $641.79 | |
Cigna
| Facility | $84.29 | $84.29 | $84.29 | |
Cigna
| Professional | $89.34 | $89.34 | $126.43 | |
United
| Professional | $89.34 | $89.34 | $99.45 |