| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $853.38 | $853.38 | $853.38 | |
Aetna
| Professional | $403.97 | $853.38 | $853.38 | |
BCBS
| Professional | $704.24 | $704.24 | $704.24 | |
Cigna
| Facility | $494.25 | $494.25 | $790.98 | |
Cigna
| Professional | $360.80 | $494.25 | $701.37 | |
United
| Professional | $263.08 | $394.61 | $624.15 |