| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,732.76 | $1,732.76 | $1,732.76 | |
Aetna
| Professional | $175.00 | $175.00 | $247.11 | |
BCBS
| Facility | $301.35 | $354.93 | $385.73 | |
BCBS
| Professional | $226.01 | $226.01 | $733.14 | |
Cigna
| Facility | $567.32 | $567.32 | $997.31 | |
Cigna
| Professional | $226.88 | $399.88 | $815.66 | |
United
| Professional | $126.57 | $180.81 | $434.64 |