| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $361.63 | $662.00 | $662.00 | |
Aetna
| Professional | $210.43 | $330.94 | $478.53 | |
BCBS
| Facility | $300.61 | $475.35 | $516.60 | |
BCBS
| Professional | $302.69 | $302.69 | $494.69 | |
Cigna
| Facility | $527.26 | $527.26 | $1,071.19 | |
Cigna
| Professional | $169.84 | $535.41 | $1,092.42 | |
United
| Professional | $150.68 | $242.15 | $437.05 |