| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $282.88 | $517.66 | $574.25 | |
Aetna
| Professional | $223.48 | $517.66 | $574.25 | |
BCBS
| Facility | $348.96 | $348.96 | $348.96 | |
BCBS
| Professional | $348.96 | $348.96 | $348.96 | |
Cigna
| Facility | $183.87 | $193.06 | $214.58 | |
Cigna
| Professional | $120.89 | $218.92 | $413.00 | |
United
| Professional | $118.81 | $169.73 | $424.32 |