| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.78 | $762.71 | $976.84 | |
Aetna
| Professional | $329.26 | $762.71 | $846.06 | |
BCBS
| Facility | $857.13 | $857.13 | $857.13 | |
BCBS
| Professional | $857.13 | $857.13 | $857.13 | |
Cigna
| Facility | $270.91 | $284.45 | $431.45 | |
Cigna
| Professional | $189.84 | $435.99 | $834.41 | |
United
| Professional | $175.05 | $283.58 | $811.07 |