| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $222.25 | $272.67 | $3,936.88 | |
Aetna
| Professional | $222.25 | $222.25 | $222.25 | |
BCBS
| Facility | $257.23 | $257.23 | $257.23 | |
BCBS
| Professional | $250.25 | $257.23 | $257.23 | |
Cigna
| Facility | $209.67 | $399.36 | $399.36 | |
Cigna
| Professional | $399.36 | $399.36 | $399.36 | |
United
| Professional | $211.14 | $222.25 | $427.88 |