| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $440.00 | $440.00 | $440.00 | |
Aetna
| Professional | $434.72 | $440.00 | $440.00 | |
BCBS
| Facility | $222.10 | $222.10 | $266.52 | |
BCBS
| Professional | $550.00 | $682.00 | $1,408.00 | |
Cigna
| Facility | $880.00 | $880.00 | $880.00 | |
Cigna
| Professional | $715.81 | $715.81 | $945.85 | |
United
| Professional | $74.20 | $184.80 | $325.60 |