| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $1,047.13 | $20,892.96 | |
Aetna
| Professional | $79.43 | $144.54 | $223.87 | |
BCBS
| Facility | $602.56 | $602.56 | $602.56 | |
BCBS
| Professional | $46.77 | $46.77 | $46.77 | |
Cigna
| Facility | $229.09 | $229.09 | $229.09 | |
United
| Facility | $338.84 | $630.96 | $1,621.81 | |
United
| Professional | $45.71 | $58.88 | $120.23 |