| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $640.12 | $640.12 | $640.12 | |
Aetna
| Professional | $325.10 | $640.12 | $640.12 | |
BCBS
| Professional | $466.88 | $466.88 | $466.88 | |
Cigna
| Facility | $448.56 | $448.56 | $705.49 | |
Cigna
| Professional | $327.45 | $448.56 | $617.75 | |
United
| Facility | $470.15 | $470.15 | $470.15 | |
United
| Professional | $234.64 | $379.90 | $542.36 |