| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $357.56 | $357.56 | $357.56 | |
Aetna
| Professional | $357.56 | $357.56 | $357.56 | |
BCBS
| Facility | $613.10 | $613.10 | $735.72 | |
BCBS
| Professional | $446.95 | $554.00 | $1,144.00 | |
Cigna
| Facility | $715.31 | $715.31 | $715.31 | |
Cigna
| Professional | $219.41 | $410.94 | $513.66 | |
United
| Professional | $150.18 | $206.43 | $491.49 |