| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $323.59 | $323.59 | |
Aetna
| Professional | $229.09 | $275.42 | $537.03 | |
BCBS
| Facility | $416.87 | $416.87 | $501.19 | |
BCBS
| Professional | $407.38 | $501.19 | $1,047.13 | |
Cigna
| Facility | $645.65 | $645.65 | $645.65 | |
Cigna
| Professional | $524.81 | $524.81 | $691.83 | |
United
| Facility | $323.59 | $323.59 | $323.59 | |
United
| Professional | $134.90 | $138.04 | $331.13 |