| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $567.05 | $567.05 | $567.05 | |
Aetna
| Professional | $288.01 | $567.05 | $567.05 | |
BCBS
| Professional | $502.09 | $502.09 | $502.09 | |
Cigna
| Facility | $434.07 | $434.07 | $671.03 | |
Cigna
| Professional | $316.87 | $434.07 | $642.08 | |
United
| Professional | $199.36 | $336.55 | $477.49 |