| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $634.04 | $634.04 | $634.04 | |
Aetna
| Professional | $384.24 | $598.83 | $634.04 | |
BCBS
| Professional | $676.80 | $676.80 | $676.80 | |
Cigna
| Facility | $356.59 | $356.59 | $356.59 | |
Cigna
| Professional | $58.89 | $356.59 | $862.50 | |
United
| Professional | $245.26 | $367.16 | $753.36 |