| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $735.83 | $735.83 | $735.83 | |
Aetna
| Professional | $373.72 | $735.83 | $735.83 | |
BCBS
| Professional | $651.52 | $651.52 | $651.52 | |
Cigna
| Facility | $612.94 | $612.94 | $947.52 | |
Cigna
| Professional | $447.45 | $612.94 | $829.68 | |
United
| Facility | $577.08 | $577.08 | $655.05 | |
United
| Professional | $291.14 | $436.70 | $672.95 |