| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $291.36 | $291.36 | $291.36 | |
Aetna
| Professional | $287.86 | $291.36 | $291.36 | |
BCBS
| Facility | $366.75 | $366.75 | $440.10 | |
BCBS
| Professional | $364.20 | $452.00 | $932.00 | |
Cigna
| Facility | $582.71 | $582.71 | $582.71 | |
Cigna
| Professional | $474.01 | $474.01 | $626.16 | |
United
| Professional | $122.37 | $122.56 | $291.80 |