| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $505.51 | $505.51 | $505.51 | |
Aetna
| Professional | $505.51 | $505.51 | $508.76 | |
BCBS
| Professional | $507.35 | $596.88 | $596.88 | |
Cigna
| Facility | $479.96 | $479.96 | $479.96 | |
Cigna
| Professional | $508.76 | $508.76 | $719.94 | |
United
| Professional | $508.76 | $508.76 | $508.76 |