| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $481.57 | $481.57 | $481.57 | |
Aetna
| Professional | $481.57 | $481.57 | $484.14 | |
BCBS
| Professional | $481.70 | $566.71 | $566.71 | |
Cigna
| Facility | $456.73 | $456.73 | $456.73 | |
Cigna
| Professional | $484.14 | $484.14 | $685.10 | |
United
| Professional | $484.14 | $484.14 | $484.14 |