| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $766.31 | $766.31 | $766.31 | |
Aetna
| Professional | $362.75 | $766.31 | $766.31 | |
BCBS
| Professional | $562.94 | $562.94 | $562.94 | |
Cigna
| Facility | $454.00 | $454.00 | $968.74 | |
Cigna
| Professional | $331.42 | $454.00 | $848.26 | |
United
| Professional | $241.65 | $362.47 | $578.77 |