| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $450.00 | $450.00 | $692.77 | |
Aetna
| Professional | $450.00 | $450.00 | $450.00 | |
BCBS
| Professional | $382.50 | $450.00 | $450.00 | |
Cigna
| Professional | $371.73 | $371.73 | $371.73 | |
United
| Professional | $372.15 | $465.19 | $672.90 |