| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.04 | $136.04 | $11,582.55 | |
Aetna
| Professional | $106.33 | $107.40 | $123.35 | |
BCBS
| Professional | $354.88 | $417.50 | $417.50 | |
Cigna
| Facility | $100.32 | $100.32 | $100.32 | |
Cigna
| Professional | $106.33 | $130.41 | $150.47 | |
United
| Professional | $106.33 | $106.33 | $106.33 |