| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $655.20 | $655.20 | $904.80 | |
Aetna
| Professional | $312.00 | $504.40 | $655.20 | |
BCBS
| Professional | $530.40 | $780.00 | $780.00 | |
Cigna
| Facility | $338.00 | $392.08 | $777.40 | |
Cigna
| Professional | $447.31 | $521.50 | $781.77 | |
United
| Facility | $468.00 | $468.00 | $468.00 | |
United
| Professional | $218.40 | $312.00 | $520.00 |