| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $839.06 | $839.06 | $839.06 | |
Aetna
| Professional | $397.18 | $839.06 | $839.06 | |
BCBS
| Professional | $692.43 | $692.43 | $692.43 | |
Cigna
| Facility | $576.88 | $576.88 | $925.33 | |
Cigna
| Professional | $421.12 | $576.88 | $908.51 | |
United
| Facility | $936.84 | $936.84 | $1,102.16 | |
United
| Professional | $274.93 | $412.39 | $638.94 |