| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $649.32 | $649.32 | $649.32 | |
Aetna
| Professional | $329.79 | $649.32 | $649.32 | |
BCBS
| Professional | $450.00 | $450.00 | $450.00 | |
Cigna
| Facility | $389.66 | $389.66 | $623.59 | |
Cigna
| Professional | $284.45 | $389.66 | $572.58 | |
United
| Professional | $207.40 | $385.37 | $496.75 |