| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,580.27 | $1,580.27 | $1,580.27 | |
Aetna
| Professional | $175.00 | $175.00 | $225.36 | |
BCBS
| Facility | $274.83 | $323.69 | $351.78 | |
BCBS
| Professional | $206.12 | $206.12 | $496.91 | |
Cigna
| Facility | $526.42 | $526.42 | $925.43 | |
Cigna
| Professional | $176.34 | $364.92 | $743.55 | |
United
| Professional | $115.43 | $164.90 | $396.39 |