| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.11 | $398.11 | $398.11 | |
Aetna
| Professional | $281.84 | $380.19 | $660.69 | |
BCBS
| Facility | $691.83 | $691.83 | $831.76 | |
BCBS
| Professional | $501.19 | $616.60 | $1,288.25 | |
Cigna
| Facility | $812.83 | $812.83 | $812.83 | |
Cigna
| Professional | $660.69 | $660.69 | $954.99 | |
United
| Facility | $398.11 | $398.11 | $398.11 | |
United
| Professional | $169.82 | $229.09 | $549.54 |