| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $538.35 | $538.35 | $743.43 | |
Aetna
| Professional | $256.36 | $538.35 | $538.35 | |
BCBS
| Professional | $384.53 | $512.71 | $576.79 | |
Cigna
| Facility | $277.72 | $551.21 | $801.33 | |
United
| Professional | $179.45 | $256.36 | $427.26 |