| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $551.61 | $551.61 | $551.61 | |
Aetna
| Professional | $369.37 | $545.48 | $551.61 | |
BCBS
| Professional | $517.40 | $517.40 | $517.40 | |
Cigna
| Facility | $429.00 | $429.00 | $429.00 | |
Cigna
| Professional | $54.03 | $429.00 | $810.00 | |
United
| Professional | $181.46 | $272.19 | $575.88 |