| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.71 | $524.71 | $524.71 | |
Aetna
| Professional | $248.38 | $524.71 | $524.71 | |
BCBS
| Professional | $419.16 | $419.16 | $419.16 | |
Cigna
| Facility | $378.92 | $378.92 | $743.62 | |
Cigna
| Professional | $276.61 | $378.92 | $651.14 | |
United
| Professional | $193.50 | $290.24 | $437.21 |