| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $304.81 | $557.79 | $618.76 | |
Aetna
| Professional | $240.80 | $557.79 | $618.76 | |
BCBS
| Facility | $304.81 | $304.81 | $304.81 | |
BCBS
| Professional | $304.81 | $304.81 | $304.81 | |
Cigna
| Facility | $198.13 | $231.22 | $640.38 | |
Cigna
| Professional | $130.52 | $138.84 | $522.09 | |
United
| Professional | $128.02 | $182.89 | $489.08 |