| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $400.68 | $400.68 | $400.68 | |
Aetna
| Professional | $85.49 | $109.20 | $250.46 | |
BCBS
| Facility | $1,385.60 | $1,385.60 | $1,385.60 | |
BCBS
| Professional | $164.00 | $248.00 | $669.00 | |
Cigna
| Professional | $98.83 | $223.87 | $495.40 | |
United
| Facility | $788.00 | $788.00 | $3,328.00 | |
United
| Professional | $193.60 | $422.40 | $762.21 |