| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $750.00 | $862.50 | $1,500.00 | |
Aetna
| Professional | $862.50 | $862.50 | $862.50 | |
BCBS
| Facility | $16.17 | $19.62 | $26.40 | |
BCBS
| Professional | $17.07 | $20.74 | $486.64 | |
Cigna
| Facility | $487.50 | $609.38 | $1,623.38 | |
Cigna
| Professional | $861.93 | $861.93 | $1,077.41 | |
United
| Professional | $315.00 | $375.00 | $750.00 |