| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $819.65 | $819.65 | $819.65 | |
Aetna
| Professional | $388.00 | $819.65 | $819.65 | |
BCBS
| Professional | $676.41 | $676.41 | $676.41 | |
Cigna
| Facility | $567.88 | $567.88 | $1,172.57 | |
Cigna
| Professional | $414.55 | $414.55 | $1,359.38 | |
United
| Professional | $302.26 | $453.39 | $682.97 |