| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $507.72 | $507.72 | $507.72 | |
Aetna
| Professional | $257.86 | $507.72 | $507.72 | |
BCBS
| Professional | $449.54 | $449.54 | $449.54 | |
Cigna
| Facility | $427.13 | $427.13 | $660.30 | |
Cigna
| Professional | $311.80 | $427.13 | $578.17 | |
United
| Professional | $200.88 | $301.32 | $464.32 |