| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $589.23 | $589.23 | $589.23 | |
Aetna
| Professional | $347.52 | $582.67 | $589.23 | |
BCBS
| Professional | $577.10 | $577.10 | $577.10 | |
Cigna
| Facility | $255.74 | $255.74 | $255.74 | |
Cigna
| Professional | $56.76 | $255.74 | $840.00 | |
United
| Professional | $209.61 | $314.41 | $642.15 |