| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $616.60 | $851.14 | |
Aetna
| Professional | $323.59 | $416.87 | $616.60 | |
BCBS
| Facility | $549.54 | $549.54 | $758.58 | |
BCBS
| Professional | $436.52 | $436.52 | $660.69 | |
Cigna
| Facility | $316.23 | $630.96 | $912.01 | |
United
| Facility | $436.52 | $436.52 | $489.78 | |
United
| Professional | $204.17 | $295.12 | $489.78 |