| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $375.00 | $686.25 | $926.44 | |
Aetna
| Professional | $281.25 | $281.25 | $281.25 | |
BCBS
| Facility | $487.50 | $506.25 | $506.25 | |
BCBS
| Professional | $1,367.79 | $1,367.79 | $1,367.79 | |
Cigna
| Facility | $243.75 | $255.94 | $284.45 | |
United
| Professional | $157.50 | $225.00 | $562.50 |