| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $292.60 | $292.60 | $1,252.80 | |
Aetna
| Professional | $292.60 | $292.60 | $698.40 | |
BCBS
| Facility | $820.80 | $820.80 | $820.80 | |
BCBS
| Professional | $648.00 | $864.00 | $972.00 | |
Cigna
| Facility | $468.00 | $542.88 | $1,076.40 | |
United
| Facility | $648.00 | $648.00 | $648.00 | |
United
| Professional | $302.39 | $432.00 | $720.00 |