| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $758.58 | $758.58 | |
Aetna
| Professional | $758.58 | $758.58 | $758.58 | |
BCBS
| Facility | $630.96 | $758.58 | $1,023.29 | |
Cigna
| Professional | $478.63 | $478.63 | $478.63 | |
United
| Facility | $562.34 | $954.99 | $1,202.26 |