| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $329.51 | $603.00 | $668.91 | |
Aetna
| Professional | $260.31 | $603.00 | $668.91 | |
BCBS
| Facility | $405.84 | $405.84 | $405.84 | |
BCBS
| Professional | $405.84 | $405.84 | $405.84 | |
Cigna
| Facility | $214.18 | $224.89 | $276.29 | |
Cigna
| Professional | $140.91 | $286.73 | $554.27 | |
United
| Professional | $138.38 | $197.71 | $560.16 |