| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $865.60 | $865.60 | $865.60 | |
Aetna
| Professional | $409.75 | $865.60 | $865.60 | |
BCBS
| Professional | $714.33 | $714.33 | $714.33 | |
Cigna
| Facility | $499.17 | $499.17 | $771.65 | |
Cigna
| Professional | $364.39 | $499.17 | $711.39 | |
United
| Professional | $256.64 | $384.97 | $598.51 |