| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $691.83 | $1,995.26 | |
Aetna
| Professional | $416.87 | $416.87 | $416.87 | |
BCBS
| Facility | $331.13 | $616.60 | $1,995.26 | |
BCBS
| Professional | $165.96 | $199.53 | $741.31 | |
Cigna
| Facility | $269.15 | $660.69 | $1,548.82 | |
Cigna
| Professional | $478.63 | $602.56 | $1,148.15 | |
United
| Facility | $251.19 | $416.87 | $501.19 | |
United
| Professional | $173.78 | $229.09 | $501.19 |