| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $742.90 | $742.90 | $742.90 | |
Aetna
| Professional | $742.90 | $742.90 | $748.85 | |
BCBS
| Professional | $744.33 | $875.68 | $875.68 | |
Cigna
| Facility | $706.46 | $706.46 | $706.46 | |
Cigna
| Professional | $748.84 | $748.84 | $1,059.69 | |
United
| Professional | $748.85 | $748.85 | $748.85 |