| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $409.90 | $750.12 | $1,012.66 | |
Aetna
| Professional | $307.43 | $307.43 | $307.43 | |
BCBS
| Facility | $74.56 | $74.56 | $74.56 | |
BCBS
| Professional | $74.56 | $74.56 | $74.56 | |
Cigna
| Facility | $266.44 | $279.76 | $310.94 | |
United
| Professional | $175.60 | $245.94 | $774.27 |