| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $589.83 | $589.83 | $863.16 | |
Aetna
| Professional | $589.83 | $863.16 | $971.06 | |
BCBS
| Professional | $550.79 | $550.79 | $550.79 | |
Cigna
| Facility | $611.41 | $611.41 | $611.41 | |
Cigna
| Professional | $611.41 | $611.41 | $611.41 | |
United
| Professional | $656.01 | $683.34 | $888.34 |