| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.30 | $245.30 | $2,774.40 | |
Aetna
| Professional | $245.30 | $245.30 | $272.52 | |
BCBS
| Professional | $245.30 | $245.30 | $245.30 | |
Cigna
| Facility | $245.30 | $245.30 | $245.30 | |
Cigna
| Professional | $245.30 | $245.30 | $245.30 | |
United
| Professional | $208.51 | $245.30 | $245.30 |