| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $634.24 | $634.24 | $634.24 | |
Aetna
| Professional | $300.23 | $634.24 | $634.24 | |
BCBS
| Professional | $523.40 | $523.40 | $523.40 | |
Cigna
| Facility | $408.71 | $408.71 | $734.39 | |
Cigna
| Professional | $298.36 | $408.71 | $643.05 | |
United
| Professional | $217.55 | $326.32 | $491.55 |