| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.02 | $477.25 | $529.40 | |
Aetna
| Professional | $206.02 | $477.25 | $529.40 | |
BCBS
| Facility | $826.32 | $826.32 | $826.32 | |
BCBS
| Professional | $826.32 | $826.32 | $826.32 | |
Cigna
| Facility | $169.51 | $197.82 | $530.74 | |
Cigna
| Professional | $118.71 | $272.88 | $496.14 | |
United
| Professional | $109.53 | $177.89 | $508.77 |