| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $858.23 | $858.23 | $858.23 | |
Aetna
| Professional | $406.26 | $858.23 | $858.23 | |
BCBS
| Professional | $630.47 | $630.47 | $630.47 | |
Cigna
| Facility | $511.34 | $511.34 | $971.75 | |
Cigna
| Professional | $373.28 | $511.34 | $850.89 | |
United
| Facility | $404.62 | $404.62 | $476.30 | |
United
| Professional | $272.17 | $408.26 | $651.88 |