| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $552.80 | $552.80 | $552.80 | |
Aetna
| Professional | $280.76 | $552.80 | $552.80 | |
BCBS
| Professional | $489.46 | $489.46 | $489.46 | |
Cigna
| Facility | $410.92 | $410.92 | $745.29 | |
Cigna
| Professional | $299.97 | $410.92 | $652.60 | |
United
| Professional | $218.72 | $328.08 | $505.56 |