| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $403.20 | $403.20 | $556.79 | |
Aetna
| Professional | $192.00 | $310.39 | $403.20 | |
BCBS
| Facility | $364.80 | $364.80 | $364.80 | |
BCBS
| Professional | $326.39 | $480.00 | $480.00 | |
Cigna
| Facility | $208.00 | $412.68 | $599.99 | |
Cigna
| Professional | $275.12 | $320.92 | $481.21 | |
United
| Professional | $134.40 | $192.00 | $320.00 |