| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $698.94 | $698.94 | $698.94 | |
Aetna
| Professional | $407.36 | $660.11 | $698.94 | |
BCBS
| Professional | $881.60 | $881.60 | $881.60 | |
Cigna
| Facility | $545.00 | $545.00 | $545.00 | |
Cigna
| Professional | $59.58 | $545.00 | $866.25 | |
United
| Professional | $317.16 | $475.73 | $981.12 |