| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $348.56 | $348.56 | $348.56 | |
Aetna
| Professional | $344.38 | $348.56 | $348.56 | |
BCBS
| Facility | $496.50 | $496.50 | $595.79 | |
BCBS
| Professional | $435.70 | $540.00 | $1,115.00 | |
Cigna
| Facility | $697.16 | $697.16 | $697.16 | |
Cigna
| Professional | $566.69 | $566.69 | $749.54 | |
United
| Professional | $146.40 | $165.92 | $395.04 |