| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $863.22 | $863.22 | $863.22 | |
Aetna
| Professional | $438.42 | $863.22 | $863.22 | |
BCBS
| Professional | $764.31 | $764.31 | $764.31 | |
Cigna
| Facility | $660.31 | $660.31 | $1,020.74 | |
Cigna
| Professional | $482.03 | $660.31 | $893.80 | |
United
| Professional | $339.49 | $512.30 | $805.44 |