| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $787.29 | $787.29 | $787.29 | |
Aetna
| Professional | $372.69 | $787.29 | $787.29 | |
BCBS
| Professional | $649.71 | $649.71 | $649.71 | |
Cigna
| Facility | $579.51 | $579.51 | $858.76 | |
Cigna
| Professional | $423.04 | $579.51 | $830.86 | |
United
| Professional | $270.89 | $435.49 | $650.14 |