| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $404.52 | $404.52 | $404.52 | |
Aetna
| Professional | $399.67 | $404.52 | $404.52 | |
BCBS
| Facility | $412.71 | $412.71 | $495.26 | |
BCBS
| Professional | $505.65 | $627.00 | $1,294.00 | |
Cigna
| Facility | $808.82 | $808.82 | $808.82 | |
Cigna
| Professional | $657.76 | $657.76 | $869.81 | |
United
| Professional | $137.91 | $169.90 | $328.36 |