| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $402.12 | $402.12 | $402.12 | |
Aetna
| Professional | $397.29 | $402.12 | $402.12 | |
BCBS
| Facility | $689.51 | $689.51 | $827.42 | |
BCBS
| Professional | $502.65 | $623.00 | $1,287.00 | |
Cigna
| Facility | $803.94 | $803.94 | $803.94 | |
Cigna
| Professional | $654.03 | $654.03 | $960.60 | |
United
| Professional | $168.89 | $230.41 | $548.60 |