| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $889.20 | $1,520.00 | |
Aetna
| Professional | $592.79 | $889.20 | $889.20 | |
BCBS
| Facility | $57.67 | $69.98 | $94.15 | |
BCBS
| Professional | $469.30 | $570.00 | $672.60 | |
Cigna
| Facility | $494.00 | $617.50 | $1,645.02 | |
United
| Facility | $684.00 | $684.00 | $684.00 | |
United
| Professional | $319.20 | $319.20 | $456.00 |