| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $508.87 | $508.87 | $508.87 | |
Aetna
| Professional | $508.87 | $508.87 | $508.87 | |
BCBS
| Facility | $640.54 | $640.54 | $768.65 | |
BCBS
| Professional | $636.09 | $789.00 | $1,628.00 | |
Cigna
| Facility | $1,017.48 | $1,017.48 | $1,017.48 | |
Cigna
| Professional | $241.73 | $827.66 | $1,094.06 | |
United
| Professional | $213.73 | $213.73 | $508.87 |