| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.00 | $331.00 | $331.00 | |
Aetna
| Professional | $327.02 | $331.00 | $331.00 | |
BCBS
| Facility | $325.60 | $325.60 | $390.72 | |
BCBS
| Professional | $413.75 | $513.00 | $1,059.00 | |
Cigna
| Facility | $662.27 | $662.27 | $662.27 | |
Cigna
| Professional | $538.46 | $538.46 | $711.52 | |
United
| Professional | $108.81 | $139.02 | $259.06 |