| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $628.42 | $628.42 | $628.42 | |
Aetna
| Professional | $297.48 | $628.42 | $628.42 | |
BCBS
| Professional | $518.61 | $518.61 | $518.61 | |
Cigna
| Facility | $437.50 | $437.50 | $693.00 | |
Cigna
| Professional | $319.38 | $437.50 | $606.82 | |
United
| Professional | $205.90 | $314.94 | $484.53 |