| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $345.57 | $632.39 | $701.51 | |
Aetna
| Professional | $273.00 | $632.39 | $701.51 | |
BCBS
| Facility | $374.48 | $374.48 | $374.48 | |
BCBS
| Professional | $374.48 | $374.48 | $374.48 | |
Cigna
| Facility | $224.62 | $262.13 | $703.27 | |
Cigna
| Professional | $157.33 | $361.57 | $657.40 | |
United
| Professional | $145.13 | $235.72 | $674.16 |