| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.78 | $416.78 | $560.50 | |
Aetna
| Professional | $411.78 | $416.78 | $416.78 | |
BCBS
| Facility | $714.65 | $714.65 | $857.58 | |
BCBS
| Professional | $520.98 | $646.00 | $1,334.00 | |
Cigna
| Facility | $833.25 | $833.25 | $833.25 | |
Cigna
| Professional | $270.99 | $678.00 | $995.51 | |
United
| Professional | $175.05 | $240.12 | $571.72 |