| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $600.00 | $690.00 | $1,200.00 | |
Aetna
| Professional | $256.14 | $690.00 | $690.00 | |
BCBS
| Facility | $537.89 | $652.76 | $878.17 | |
BCBS
| Professional | $389.31 | $900.00 | $1,062.00 | |
Cigna
| Facility | $191.96 | $487.50 | $1,298.70 | |
Cigna
| Professional | $241.08 | $241.08 | $241.08 | |
United
| Professional | $126.57 | $126.57 | $252.00 |