| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $520.00 | $520.00 | $520.00 | |
Aetna
| Professional | $513.76 | $520.00 | $520.00 | |
BCBS
| Professional | $650.00 | $806.00 | $1,664.00 | |
Cigna
| Professional | $845.77 | $845.77 | $1,118.10 | |
United
| Professional | $218.40 | $218.40 | $520.00 |