| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.67 | $741.67 | $741.67 | |
Aetna
| Professional | $376.68 | $741.67 | $741.67 | |
BCBS
| Professional | $656.68 | $656.68 | $656.68 | |
Cigna
| Facility | $624.54 | $624.54 | $877.53 | |
Cigna
| Professional | $455.91 | $624.54 | $839.78 | |
United
| Professional | $260.73 | $440.17 | $630.37 |