| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $383.07 | $383.07 | $383.07 | |
Aetna
| Professional | $391.07 | $391.07 | $430.18 | |
BCBS
| Professional | $376.31 | $442.72 | $442.72 | |
Cigna
| Facility | $368.93 | $368.93 | $368.93 | |
Cigna
| Professional | $391.07 | $479.61 | $553.40 | |
United
| Professional | $391.07 | $391.07 | $391.07 |