| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $416.87 | $831.76 | |
Aetna
| Professional | $416.87 | $416.87 | $416.87 | |
BCBS
| Facility | $147.91 | $177.83 | $239.88 | |
BCBS
| Professional | $239.88 | $269.15 | $309.03 | |
Cigna
| Facility | $331.13 | $354.81 | $912.01 | |
United
| Facility | $173.78 | $371.54 | $416.87 | |
United
| Professional | $158.49 | $186.21 | $251.19 |