| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.41 | $478.41 | $478.41 | |
Aetna
| Professional | $335.55 | $335.55 | $335.55 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $368.58 | $368.58 | $368.58 | |
Cigna
| Professional | $368.58 | $368.58 | $368.58 | |
United
| Professional | $0.50 | $329.09 | $394.76 |