| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $497.80 | $497.80 | $497.80 | |
Aetna
| Professional | $497.80 | $497.80 | $498.14 | |
BCBS
| Professional | $494.16 | $581.37 | $581.37 | |
Cigna
| Facility | $469.94 | $469.94 | $469.94 | |
Cigna
| Professional | $498.14 | $498.14 | $704.91 | |
United
| Professional | $498.14 | $498.14 | $498.14 |