| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $337.73 | $337.73 | $337.73 | |
Aetna
| Professional | $333.67 | $337.73 | $337.73 | |
BCBS
| Facility | $162.81 | $162.81 | $195.38 | |
BCBS
| Professional | $422.16 | $523.00 | $1,081.00 | |
Cigna
| Facility | $675.53 | $675.53 | $675.53 | |
Cigna
| Professional | $549.11 | $549.11 | $726.27 | |
United
| Professional | $54.40 | $141.85 | $249.92 |