| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $300.00 | $538.00 | $1,395.00 | |
Aetna
| Professional | $169.13 | $300.00 | $320.00 | |
BCBS
| Facility | $426.56 | $725.54 | $1,175.03 | |
Cigna
| Facility | $131.97 | $131.97 | $131.97 | |
Cigna
| Professional | $240.00 | $240.00 | $350.00 | |
United
| Facility | $828.27 | $828.27 | $828.27 | |
United
| Professional | $262.54 | $372.49 | $628.07 |