| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $482.15 | $882.62 | $882.62 | |
Aetna
| Professional | $85.00 | $241.51 | $280.55 | |
BCBS
| Facility | $346.89 | $362.26 | $597.33 | |
BCBS
| Professional | $220.89 | $220.89 | $423.48 | |
Cigna
| Facility | $702.98 | $702.98 | $1,235.80 | |
Cigna
| Professional | $226.45 | $434.37 | $984.25 | |
United
| Professional | $123.70 | $241.07 | $582.69 |