| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $518.02 | $518.02 | $518.02 | |
Aetna
| Professional | $518.02 | $546.27 | $803.66 | |
BCBS
| Professional | $752.00 | $752.00 | $752.00 | |
Cigna
| Professional | $293.45 | $293.45 | $355.59 | |
United
| Professional | $311.39 | $718.20 | $1,633.67 |