| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $624.36 | $624.36 | $624.36 | |
Aetna
| Professional | $602.32 | $624.36 | $791.04 | |
BCBS
| Facility | $905.54 | $939.36 | $939.36 | |
BCBS
| Professional | $939.36 | $939.36 | $939.36 | |
Cigna
| Facility | $624.36 | $624.36 | $624.36 | |
Cigna
| Professional | $624.36 | $624.36 | $624.36 | |
United
| Professional | $581.50 | $612.11 | $630.47 |