| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.77 | $724.77 | $724.77 | |
Aetna
| Professional | $707.72 | $707.72 | $724.77 | |
BCBS
| Facility | $710.56 | $710.56 | $710.56 | |
BCBS
| Professional | $710.56 | $710.56 | $710.56 | |
Cigna
| Facility | $123.80 | $724.77 | $724.77 | |
Cigna
| Professional | $724.77 | $724.77 | $724.77 | |
United
| Professional | $531.91 | $710.56 | $710.56 |