| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $500.00 | $500.00 | $700.00 | |
Aetna
| Professional | $500.00 | $500.00 | $500.00 | |
BCBS
| Facility | $39.97 | $46.91 | $331.47 | |
Cigna
| Facility | $432.81 | $432.81 | $432.81 | |
Cigna
| Professional | $432.81 | $432.81 | $432.81 | |
United
| Professional | $500.00 | $500.00 | $672.90 |