| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $685.91 | $685.91 | $685.91 | |
Aetna
| Professional | $686.00 | $686.00 | $754.60 | |
BCBS
| Professional | $664.68 | $781.98 | $781.98 | |
Cigna
| Facility | $647.16 | $647.16 | $647.16 | |
Cigna
| Professional | $686.00 | $841.32 | $970.76 | |
United
| Professional | $686.00 | $686.00 | $686.00 |