| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $579.94 | $579.94 | $579.94 | |
Aetna
| Professional | $477.60 | $477.60 | $477.60 | |
BCBS
| Facility | $601.43 | $726.63 | $2,062.76 | |
BCBS
| Professional | $77.30 | $89.66 | $450.31 | |
Cigna
| Facility | $628.20 | $1,148.63 | $1,989.05 | |
Cigna
| Professional | $791.71 | $830.91 | $995.52 | |
United
| Professional | $286.56 | $409.37 | $784.63 |