| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $381.70 | $381.70 | $381.70 | |
Aetna
| Professional | $190.85 | $300.00 | $324.45 | |
BCBS
| Facility | $190.68 | $190.68 | $228.81 | |
BCBS
| Professional | $477.13 | $592.00 | $1,221.00 | |
Cigna
| Facility | $763.46 | $763.46 | $763.46 | |
Cigna
| Professional | $621.01 | $621.01 | $820.93 | |
United
| Professional | $63.72 | $160.31 | $282.45 |