| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $611.70 | $611.70 | $611.70 | |
Aetna
| Professional | $289.55 | $611.70 | $611.70 | |
BCBS
| Professional | $504.80 | $504.80 | $504.80 | |
Cigna
| Facility | $373.35 | $373.35 | $522.86 | |
Cigna
| Professional | $272.55 | $373.35 | $502.73 | |
United
| Professional | $173.90 | $287.60 | $420.44 |