| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $440.00 | $805.20 | $893.20 | |
Aetna
| Professional | $347.60 | $805.20 | $893.20 | |
BCBS
| Facility | $359.38 | $359.38 | $359.38 | |
BCBS
| Professional | $359.38 | $359.38 | $359.38 | |
Cigna
| Facility | $143.57 | $286.00 | $368.94 | |
Cigna
| Professional | $188.29 | $243.01 | $753.16 | |
United
| Professional | $88.35 | $188.50 | $397.58 |