| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $597.80 | $597.80 | $597.80 | |
Aetna
| Professional | $303.62 | $597.80 | $597.80 | |
BCBS
| Professional | $529.30 | $529.30 | $529.30 | |
Cigna
| Facility | $564.36 | $564.36 | $790.68 | |
Cigna
| Professional | $411.98 | $564.36 | $692.35 | |
United
| Professional | $222.28 | $354.79 | $513.79 |