| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $403.59 | $738.57 | $819.29 | |
Aetna
| Professional | $318.83 | $738.57 | $819.29 | |
BCBS
| Facility | $585.44 | $585.44 | $585.44 | |
BCBS
| Professional | $585.44 | $585.44 | $585.44 | |
Cigna
| Facility | $244.86 | $275.45 | $449.55 | |
Cigna
| Professional | $172.69 | $310.83 | $690.76 | |
United
| Professional | $150.68 | $242.15 | $605.39 |