| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $874.00 | $1,520.00 | |
Aetna
| Professional | $592.79 | $874.00 | $874.00 | |
BCBS
| Facility | $537.89 | $652.76 | $878.17 | |
BCBS
| Professional | $493.13 | $2,344.30 | $2,766.27 | |
Cigna
| Facility | $597.74 | $642.20 | $2,383.44 | |
Cigna
| Professional | $608.00 | $608.00 | $608.00 | |
United
| Professional | $319.20 | $319.20 | $456.00 |