| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $450.91 | $825.17 | $915.35 | |
Aetna
| Professional | $356.22 | $825.17 | $915.35 | |
BCBS
| Facility | $450.91 | $450.91 | $450.91 | |
BCBS
| Professional | $450.91 | $450.91 | $450.91 | |
Cigna
| Facility | $293.08 | $342.04 | $673.66 | |
Cigna
| Professional | $192.92 | $351.67 | $771.70 | |
United
| Professional | $189.38 | $270.55 | $677.39 |