| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $921.23 | $921.23 | $921.23 | |
Aetna
| Professional | $85.00 | $531.44 | $798.38 | |
BCBS
| Facility | $872.53 | $1,059.13 | $1,433.38 | |
Cigna
| Professional | $291.51 | $291.51 | $291.51 | |
United
| Professional | $440.40 | $440.40 | $440.40 |