| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $679.50 | $679.50 | $679.50 | |
Aetna
| Professional | $407.76 | $641.75 | $679.50 | |
BCBS
| Professional | $689.90 | $689.90 | $689.90 | |
Cigna
| Professional | $59.64 | $577.92 | $1,082.81 | |
United
| Professional | $292.32 | $438.49 | $905.33 |