| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $972.65 | $972.65 | $972.65 | |
Aetna
| Professional | $494.00 | $972.65 | $972.65 | |
BCBS
| Professional | $861.20 | $861.20 | $861.20 | |
Cigna
| Facility | $930.44 | $930.44 | $1,396.26 | |
Cigna
| Professional | $679.22 | $930.44 | $1,222.61 | |
United
| Professional | $384.84 | $577.25 | $889.53 |