| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $487.59 | $487.59 | $487.59 | |
Aetna
| Professional | $487.59 | $531.47 | $536.34 | |
BCBS
| Professional | $833.00 | $980.00 | $980.00 | |
Cigna
| Facility | $459.99 | $459.99 | $459.99 | |
Cigna
| Professional | $487.59 | $689.98 | $689.98 | |
United
| Professional | $487.59 | $487.59 | $487.59 |