| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $532.58 | $532.58 | $532.58 | |
Aetna
| Professional | $529.89 | $529.89 | $532.58 | |
BCBS
| Professional | $525.21 | $617.89 | $617.89 | |
Cigna
| Facility | $499.90 | $499.90 | $499.90 | |
Cigna
| Professional | $529.89 | $529.89 | $749.84 | |
United
| Professional | $529.89 | $529.89 | $529.89 |