| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $302.00 | $302.00 | |
Aetna
| Professional | $213.80 | $257.04 | $501.19 | |
BCBS
| Professional | $380.19 | $467.74 | $977.24 | |
Cigna
| Facility | $616.60 | $616.60 | $616.60 | |
Cigna
| Professional | $501.19 | $501.19 | $660.69 | |
United
| Facility | $302.00 | $302.00 | $302.00 | |
United
| Professional | $128.82 | $128.82 | $302.00 |