| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $944.89 | $944.89 | $944.89 | |
Aetna
| Professional | $479.90 | $944.89 | $944.89 | |
BCBS
| Professional | $663.97 | $663.97 | $663.97 | |
Cigna
| Facility | $702.38 | $702.38 | $1,353.27 | |
Cigna
| Professional | $512.74 | $702.38 | $1,184.97 | |
United
| Professional | $373.85 | $560.78 | $903.87 |