| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.08 | $574.57 | $594.61 | |
Aetna
| Professional | $433.08 | $574.57 | $594.61 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
BCBS
| Professional | $676.87 | $747.43 | $747.43 | |
Cigna
| Facility | $356.59 | $356.59 | $627.91 | |
Cigna
| Professional | $58.89 | $356.59 | $862.50 | |
United
| Professional | $245.26 | $386.69 | $582.50 |