| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $971.00 | $971.00 | $971.00 | |
Aetna
| Professional | $493.16 | $971.00 | $971.00 | |
BCBS
| Professional | $859.74 | $859.74 | $859.74 | |
Cigna
| Facility | $875.29 | $875.29 | $1,353.09 | |
Cigna
| Professional | $638.96 | $875.29 | $1,184.81 | |
United
| Professional | $360.42 | $576.28 | $833.09 |