| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $1,140.00 | $1,520.00 | |
Aetna
| Professional | $874.00 | $874.00 | $874.00 | |
BCBS
| Facility | $537.89 | $652.76 | $878.17 | |
BCBS
| Professional | $132.18 | $160.50 | $493.13 | |
Cigna
| Facility | $484.12 | $617.50 | $1,645.02 | |
Cigna
| Professional | $608.00 | $873.50 | $1,091.86 | |
United
| Facility | $273.60 | $273.60 | $684.00 | |
United
| Professional | $319.20 | $319.20 | $760.00 |