| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.00 | $695.40 | $938.79 | |
Aetna
| Professional | $285.00 | $285.00 | $285.00 | |
BCBS
| Facility | $494.00 | $513.00 | $513.00 | |
BCBS
| Professional | $2,432.00 | $2,432.00 | $2,432.00 | |
Cigna
| Facility | $247.00 | $259.35 | $288.25 | |
United
| Facility | $342.00 | $342.00 | $380.00 | |
United
| Professional | $159.60 | $228.00 | $570.00 |