| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $325.80 | $325.80 | $325.80 | |
Aetna
| Professional | $325.80 | $325.80 | $325.80 | |
BCBS
| Facility | $197.78 | $197.78 | $237.33 | |
BCBS
| Professional | $407.25 | $505.00 | $1,043.00 | |
Cigna
| Facility | $651.79 | $651.79 | $651.79 | |
Cigna
| Professional | $70.76 | $374.18 | $467.72 | |
United
| Professional | $66.59 | $136.84 | $241.09 |