| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.78 | $644.01 | $1,250.33 | |
Aetna
| Professional | $416.78 | $416.78 | $572.36 | |
BCBS
| Facility | $271.42 | $614.00 | $1,975.54 | |
BCBS
| Professional | $166.71 | $200.25 | $416.78 | |
Cigna
| Facility | $356.25 | $586.79 | $1,151.36 | |
Cigna
| Professional | $416.78 | $507.69 | $608.27 | |
United
| Facility | $395.94 | $416.78 | $562.65 | |
United
| Professional | $175.05 | $228.84 | $558.20 |