| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $969.02 | $969.02 | $969.02 | |
Aetna
| Professional | $458.70 | $969.02 | $969.02 | |
BCBS
| Professional | $711.86 | $711.86 | $711.86 | |
Cigna
| Facility | $565.73 | $565.73 | $874.53 | |
Cigna
| Professional | $412.98 | $565.73 | $796.39 | |
United
| Professional | $290.86 | $466.62 | $703.21 |