| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.75 | $592.46 | $657.21 | |
Aetna
| Professional | $255.76 | $356.13 | $621.60 | |
BCBS
| Facility | $357.25 | $357.25 | $357.25 | |
BCBS
| Professional | $357.25 | $357.25 | $357.25 | |
Cigna
| Facility | $130.80 | $220.96 | $271.47 | |
Cigna
| Professional | $82.88 | $164.36 | $465.14 | |
United
| Facility | $291.38 | $291.38 | $323.75 | |
United
| Professional | $87.20 | $138.60 | $389.09 |