| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $571.42 | $571.42 | $571.42 | |
Aetna
| Professional | $270.50 | $571.42 | $571.42 | |
BCBS
| Professional | $471.57 | $471.57 | $471.57 | |
Cigna
| Facility | $419.04 | $419.04 | $641.10 | |
Cigna
| Professional | $305.89 | $419.04 | $561.36 | |
United
| Professional | $185.61 | $278.41 | $435.15 |