| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $508.84 | $508.84 | $508.84 | |
Aetna
| Professional | $484.90 | $508.84 | $508.84 | |
BCBS
| Professional | $498.87 | $498.87 | $498.87 | |
Cigna
| Facility | $508.84 | $508.84 | $508.84 | |
Cigna
| Professional | $508.84 | $508.84 | $508.84 | |
United
| Professional | $434.02 | $498.87 | $498.87 |