| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.12 | $461.62 | $521.30 | |
Aetna
| Professional | $461.62 | $461.62 | $521.30 | |
BCBS
| Facility | $520.46 | $520.46 | $520.46 | |
BCBS
| Professional | $497.82 | $520.46 | $520.46 | |
Cigna
| Facility | $223.81 | $506.88 | $506.88 | |
Cigna
| Professional | $506.88 | $506.88 | $506.88 | |
United
| Professional | $429.94 | $452.57 | $543.08 |