| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $718.29 | $718.29 | $718.29 | |
Aetna
| Professional | $407.36 | $542.92 | $718.29 | |
BCBS
| Professional | $800.80 | $800.80 | $800.80 | |
Cigna
| Facility | $568.02 | $568.02 | $695.55 | |
Cigna
| Professional | $59.58 | $568.02 | $866.25 | |
United
| Professional | $341.12 | $511.68 | $1,054.78 |