| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $764.45 | $764.45 | $764.45 | |
Aetna
| Professional | $735.05 | $735.05 | $764.45 | |
BCBS
| Facility | $0.02 | $0.02 | $35.20 | |
Cigna
| Facility | $693.44 | $735.05 | $735.05 | |
Cigna
| Professional | $735.05 | $735.05 | $735.05 | |
United
| Professional | $735.05 | $735.05 | $735.05 |