| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $294.44 | $294.44 | $294.44 | |
Aetna
| Professional | $294.43 | $294.44 | $323.88 | |
BCBS
| Facility | $36.03 | $43.72 | $58.82 | |
BCBS
| Professional | $289.17 | $289.17 | $289.17 | |
Cigna
| Facility | $323.87 | $323.87 | $323.87 | |
Cigna
| Professional | $307.64 | $323.87 | $323.87 | |
United
| Professional | $289.17 | $326.76 | $346.40 |