| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $919.11 | $919.11 | $919.11 | |
Aetna
| Professional | $466.80 | $919.11 | $919.11 | |
BCBS
| Professional | $813.80 | $813.80 | $813.80 | |
Cigna
| Facility | $719.79 | $719.79 | $1,112.67 | |
Cigna
| Professional | $525.45 | $719.79 | $974.29 | |
United
| Professional | $363.65 | $545.48 | $840.57 |