| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $720.00 | $828.00 | $1,440.00 | |
Aetna
| Professional | $612.00 | $828.00 | $828.00 | |
BCBS
| Facility | $537.89 | $652.76 | $878.17 | |
BCBS
| Professional | $444.60 | $540.00 | $637.20 | |
Cigna
| Facility | $468.00 | $585.00 | $1,558.44 | |
Cigna
| Professional | $421.20 | $421.20 | $421.20 | |
United
| Professional | $302.39 | $302.39 | $432.00 |