| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $541.55 | $541.55 | $541.55 | |
Aetna
| Professional | $275.05 | $541.55 | $541.55 | |
BCBS
| Professional | $479.50 | $479.50 | $479.50 | |
Cigna
| Facility | $402.56 | $402.56 | $849.00 | |
Cigna
| Professional | $293.87 | $402.56 | $743.41 | |
United
| Professional | $214.27 | $321.41 | $495.28 |