| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $974.39 | $974.39 | $974.39 | |
Aetna
| Professional | $461.24 | $974.39 | $974.39 | |
BCBS
| Professional | $804.11 | $804.11 | $804.11 | |
Cigna
| Facility | $695.41 | $695.41 | $1,074.57 | |
Cigna
| Professional | $507.65 | $695.41 | $940.93 | |
United
| Professional | $319.26 | $478.89 | $735.70 |