| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $777.06 | $777.06 | $777.06 | |
Aetna
| Professional | $408.97 | $586.34 | $777.06 | |
BCBS
| Professional | $998.20 | $998.20 | $998.20 | |
Cigna
| Facility | $578.29 | $578.29 | $668.41 | |
Cigna
| Professional | $59.82 | $578.29 | $866.25 | |
United
| Professional | $31.39 | $74.56 | $762.66 |