| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $381.70 | $698.51 | $774.85 | |
Aetna
| Professional | $301.54 | $698.51 | $774.85 | |
BCBS
| Facility | $433.44 | $433.44 | $433.44 | |
BCBS
| Professional | $433.44 | $433.44 | $433.44 | |
Cigna
| Facility | $123.26 | $248.11 | $320.06 | |
Cigna
| Professional | $163.41 | $208.51 | $653.69 | |
United
| Professional | $75.86 | $166.88 | $572.54 |