| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $457.09 | $562.34 | |
Aetna
| Professional | $213.80 | $275.42 | $457.09 | |
BCBS
| Facility | $363.08 | $363.08 | $501.19 | |
BCBS
| Professional | $288.40 | $288.40 | $436.52 | |
Cigna
| Facility | $208.93 | $478.63 | $676.08 | |
United
| Facility | $288.40 | $288.40 | $323.59 | |
United
| Professional | $134.90 | $194.98 | $354.81 |