| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $528.57 | $528.57 | $528.57 | |
Aetna
| Professional | $250.21 | $528.57 | $528.57 | |
BCBS
| Professional | $436.19 | $436.19 | $436.19 | |
Cigna
| Facility | $325.37 | $325.37 | $582.88 | |
Cigna
| Professional | $237.52 | $237.52 | $675.75 | |
United
| Professional | $173.18 | $289.77 | $407.54 |