| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $703.09 | $703.09 | $703.09 | |
Aetna
| Professional | $357.09 | $703.09 | $703.09 | |
BCBS
| Professional | $622.53 | $622.53 | $622.53 | |
Cigna
| Facility | $510.69 | $510.69 | $1,020.79 | |
Cigna
| Professional | $434.09 | $510.69 | $893.85 | |
United
| Professional | $271.82 | $417.28 | $628.30 |