| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $982.72 | $982.72 | $982.72 | |
Aetna
| Professional | $465.19 | $982.72 | $982.72 | |
BCBS
| Professional | $810.99 | $810.99 | $810.99 | |
Cigna
| Facility | $680.86 | $680.86 | $1,388.47 | |
Cigna
| Professional | $497.03 | $680.86 | $1,215.80 | |
United
| Facility | $538.75 | $538.75 | $634.19 | |
United
| Professional | $362.40 | $538.75 | $818.85 |