| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $515.48 | $515.48 | $515.48 | |
Aetna
| Professional | $244.01 | $515.48 | $515.48 | |
BCBS
| Professional | $425.40 | $425.40 | $425.40 | |
Cigna
| Facility | $328.44 | $328.44 | $607.86 | |
Cigna
| Professional | $239.76 | $328.44 | $532.26 | |
United
| Professional | $174.82 | $262.22 | $401.27 |