| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $260.79 | $260.79 | $260.79 | |
Aetna
| Professional | $257.66 | $260.79 | $260.79 | |
BCBS
| Facility | $447.16 | $447.16 | $536.60 | |
BCBS
| Professional | $325.99 | $404.00 | $835.00 | |
Cigna
| Facility | $521.29 | $521.29 | $521.29 | |
Cigna
| Professional | $423.95 | $423.95 | $623.07 | |
United
| Professional | $109.53 | $149.43 | $355.78 |