| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $616.60 | $707.95 | |
Aetna
| Professional | $588.84 | $588.84 | $707.95 | |
BCBS
| Facility | $436.52 | $436.52 | $478.63 | |
Cigna
| Facility | $588.84 | $588.84 | $588.84 | |
Cigna
| Professional | $588.84 | $588.84 | $588.84 | |
United
| Facility | $588.84 | $588.84 | $616.60 | |
United
| Professional | $562.34 | $588.84 | $912.01 |