| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $520.60 | $776.24 | $825.07 | |
Aetna
| Professional | $635.11 | $674.81 | $674.81 | |
BCBS
| Facility | $674.81 | $701.26 | $740.96 | |
BCBS
| Professional | $714.50 | $714.50 | $714.50 | |
Cigna
| Facility | $674.81 | $674.81 | $674.81 | |
Cigna
| Professional | $674.81 | $674.81 | $674.81 | |
United
| Professional | $661.57 | $661.57 | $793.89 |