| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $577.04 | $577.04 | $577.04 | |
Aetna
| Professional | $577.04 | $577.04 | $593.00 | |
BCBS
| Professional | $662.15 | $779.00 | $779.00 | |
Cigna
| Facility | $559.44 | $559.44 | $559.44 | |
Cigna
| Professional | $593.00 | $593.00 | $839.16 | |
United
| Professional | $593.00 | $593.00 | $593.00 |