| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $450.91 | $450.91 | $450.91 | |
Aetna
| Professional | $445.50 | $450.91 | $450.91 | |
BCBS
| Facility | $567.59 | $567.59 | $681.11 | |
BCBS
| Professional | $563.64 | $699.00 | $1,443.00 | |
Cigna
| Facility | $901.64 | $901.64 | $901.64 | |
Cigna
| Professional | $733.39 | $733.39 | $969.13 | |
United
| Professional | $189.38 | $189.67 | $451.59 |