| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $742.04 | $742.04 | $742.04 | |
Aetna
| Professional | $713.50 | $713.50 | $742.04 | |
BCBS
| Facility | $0.02 | $0.02 | $35.20 | |
Cigna
| Facility | $673.11 | $713.50 | $713.50 | |
Cigna
| Professional | $713.50 | $713.50 | $713.50 | |
United
| Professional | $713.50 | $713.50 | $713.50 |