| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.00 | $605.73 | $671.93 | |
Aetna
| Professional | $261.49 | $605.73 | $671.93 | |
BCBS
| Facility | $296.88 | $296.88 | $296.88 | |
BCBS
| Professional | $296.88 | $296.88 | $296.88 | |
Cigna
| Facility | $210.49 | $225.91 | $386.46 | |
Cigna
| Professional | $141.63 | $254.96 | $566.57 | |
United
| Facility | $297.89 | $297.89 | $331.00 | |
United
| Professional | $129.53 | $155.44 | $496.50 |