| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.10 | $625.10 | $625.10 | |
Aetna
| Professional | $317.48 | $625.10 | $625.10 | |
BCBS
| Professional | $553.48 | $553.48 | $553.48 | |
Cigna
| Facility | $530.41 | $530.41 | $819.92 | |
Cigna
| Professional | $387.20 | $387.20 | $950.63 | |
United
| Professional | $247.32 | $370.99 | $571.67 |