| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $345.57 | $345.57 | $345.57 | |
Aetna
| Professional | $341.42 | $345.57 | $345.57 | |
BCBS
| Facility | $592.54 | $592.54 | $711.05 | |
BCBS
| Professional | $431.96 | $536.00 | $1,106.00 | |
Cigna
| Facility | $690.88 | $690.88 | $690.88 | |
Cigna
| Professional | $561.89 | $561.89 | $825.59 | |
United
| Professional | $145.13 | $198.00 | $471.44 |