| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $494.16 | $494.16 | $494.16 | |
Aetna
| Professional | $233.93 | $494.16 | $494.16 | |
BCBS
| Professional | $407.80 | $407.80 | $407.80 | |
Cigna
| Facility | $335.34 | $335.34 | $587.14 | |
Cigna
| Professional | $244.80 | $335.34 | $514.12 | |
United
| Professional | $178.49 | $267.73 | $403.31 |