| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $279.00 | $510.57 | $566.37 | |
Aetna
| Professional | $220.41 | $510.57 | $566.37 | |
BCBS
| Facility | $331.55 | $331.55 | $331.55 | |
BCBS
| Professional | $331.55 | $331.55 | $331.55 | |
Cigna
| Facility | $15.15 | $181.35 | $233.94 | |
Cigna
| Professional | $119.40 | $192.73 | $334.32 | |
United
| Professional | $57.48 | $125.55 | $418.50 |