| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.28 | $575.28 | $575.28 | |
Aetna
| Professional | $561.74 | $575.28 | $575.28 | |
BCBS
| Facility | $564.00 | $564.00 | $564.00 | |
BCBS
| Professional | $564.00 | $564.00 | $564.00 | |
Cigna
| Facility | $276.13 | $358.29 | $358.29 | |
Cigna
| Professional | $358.29 | $358.29 | $358.29 | |
United
| Professional | $610.34 | $676.80 | $676.80 |