| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $457.09 | $512.86 | |
Aetna
| Professional | $457.09 | $457.09 | $537.03 | |
BCBS
| Facility | $331.13 | $331.13 | $371.54 | |
Cigna
| Facility | $416.87 | $501.19 | $501.19 | |
Cigna
| Professional | $501.19 | $501.19 | $501.19 | |
United
| Facility | $354.81 | $371.54 | $371.54 | |
United
| Professional | $457.09 | $501.19 | $537.03 |