| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $516.60 | $516.60 | $516.60 | |
Aetna
| Professional | $262.38 | $516.60 | $516.60 | |
BCBS
| Professional | $457.40 | $457.40 | $457.40 | |
Cigna
| Facility | $452.18 | $452.18 | $698.99 | |
Cigna
| Professional | $330.09 | $452.18 | $612.05 | |
United
| Facility | $696.49 | $696.49 | $819.40 | |
United
| Professional | $204.40 | $306.58 | $472.45 |