| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $717.41 | $717.41 | $717.41 | |
Aetna
| Professional | $364.36 | $717.41 | $717.41 | |
BCBS
| Professional | $577.22 | $577.22 | $577.22 | |
Cigna
| Facility | $528.74 | $528.74 | $948.84 | |
Cigna
| Professional | $385.98 | $528.74 | $830.84 | |
United
| Professional | $266.75 | $425.77 | $616.57 |