| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $614.77 | $614.77 | $614.77 | |
Aetna
| Professional | $291.01 | $614.77 | $614.77 | |
BCBS
| Professional | $461.03 | $461.03 | $461.03 | |
Cigna
| Facility | $419.48 | $419.48 | $677.99 | |
Cigna
| Professional | $306.22 | $419.48 | $593.66 | |
United
| Professional | $201.43 | $302.14 | $468.15 |