| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $497.46 | $497.46 | $497.46 | |
Aetna
| Professional | $252.66 | $497.46 | $497.46 | |
BCBS
| Professional | $440.46 | $440.46 | $440.46 | |
Cigna
| Facility | $400.78 | $400.78 | $666.10 | |
Cigna
| Professional | $292.57 | $400.78 | $583.27 | |
United
| Professional | $196.82 | $295.24 | $454.95 |