| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $553.23 | $553.23 | $553.23 | |
Aetna
| Professional | $372.12 | $553.23 | $553.23 | |
BCBS
| Professional | $512.79 | $512.79 | $512.79 | |
Cigna
| Facility | $150.00 | $150.00 | $150.00 | |
Cigna
| Professional | $54.43 | $150.00 | $832.50 | |
United
| Professional | $183.34 | $275.00 | $570.40 |