| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $706.50 | $706.50 | $706.50 | |
Aetna
| Professional | $408.23 | $698.65 | $706.50 | |
BCBS
| Professional | $904.50 | $904.50 | $904.50 | |
Cigna
| Facility | $552.13 | $552.13 | $552.13 | |
Cigna
| Professional | $59.71 | $552.13 | $866.25 | |
United
| Professional | $325.24 | $487.86 | $1,006.23 |