| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $968.90 | $968.90 | $968.90 | |
Aetna
| Professional | $492.09 | $968.90 | $968.90 | |
BCBS
| Professional | $857.88 | $857.88 | $857.88 | |
Cigna
| Facility | $812.21 | $812.21 | $1,152.61 | |
Cigna
| Professional | $592.91 | $812.21 | $1,009.27 | |
United
| Professional | $383.35 | $575.03 | $918.17 |