| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $719.23 | $719.23 | $719.23 | |
Aetna
| Professional | $340.47 | $719.23 | $719.23 | |
BCBS
| Professional | $593.54 | $593.54 | $593.54 | |
Cigna
| Facility | $450.57 | $450.57 | $749.24 | |
Cigna
| Professional | $328.92 | $450.57 | $656.06 | |
United
| Professional | $239.82 | $367.84 | $574.40 |