| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $300.00 | $549.00 | $609.00 | |
Aetna
| Professional | $237.00 | $549.00 | $609.00 | |
BCBS
| Facility | $370.00 | $370.00 | $370.00 | |
BCBS
| Professional | $370.00 | $370.00 | $370.00 | |
Cigna
| Facility | $195.00 | $204.75 | $251.55 | |
Cigna
| Professional | $128.36 | $256.57 | $513.44 | |
United
| Professional | $126.00 | $180.00 | $494.27 |