| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $529.78 | $529.78 | $529.78 | |
Aetna
| Professional | $269.07 | $529.78 | $529.78 | |
BCBS
| Professional | $469.07 | $469.07 | $469.07 | |
Cigna
| Facility | $405.51 | $405.51 | $626.85 | |
Cigna
| Professional | $296.02 | $405.51 | $548.90 | |
United
| Professional | $186.24 | $314.41 | $450.28 |