| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $563.79 | $563.79 | $563.79 | |
Aetna
| Professional | $563.79 | $563.79 | $572.96 | |
BCBS
| Professional | $711.35 | $836.88 | $836.88 | |
Cigna
| Facility | $540.53 | $540.53 | $540.53 | |
Cigna
| Professional | $572.96 | $572.96 | $810.79 | |
United
| Professional | $572.96 | $572.96 | $572.96 |