| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $217.00 | $226.50 | $265.50 | |
Aetna
| Professional | $398.00 | $398.00 | $398.00 | |
BCBS
| Facility | $514.00 | $936.32 | $1,870.13 | |
BCBS
| Professional | $285.86 | $348.61 | $437.60 | |
Cigna
| Facility | $551.61 | $950.50 | $2,200.69 | |
Cigna
| Professional | $603.50 | $607.50 | $607.50 | |
United
| Facility | $246.75 | $343.10 | $376.00 | |
United
| Professional | $528.75 | $528.75 | $528.75 |