| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $297.33 | $297.33 | $297.33 | |
Aetna
| Professional | $297.33 | $297.33 | $297.33 | |
BCBS
| Facility | $331.23 | $488.26 | $900.79 | |
BCBS
| Professional | $280.50 | $280.50 | $311.87 | |
Cigna
| Facility | $326.48 | $326.48 | $326.48 | |
Cigna
| Professional | $326.48 | $326.48 | $326.48 | |
United
| Professional | $300.25 | $342.80 | $360.30 |