| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $403.59 | $403.59 | $403.59 | |
Aetna
| Professional | $398.75 | $403.59 | $403.59 | |
BCBS
| Facility | $378.78 | $378.78 | $454.53 | |
BCBS
| Professional | $504.49 | $626.00 | $1,291.00 | |
Cigna
| Facility | $807.43 | $807.43 | $807.43 | |
Cigna
| Professional | $656.70 | $656.70 | $867.49 | |
United
| Professional | $126.57 | $169.51 | $301.36 |