| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $405.91 | $556.50 | $582.67 | |
Aetna
| Professional | $405.91 | $460.22 | $582.67 | |
BCBS
| Facility | $81.84 | $81.84 | $90.04 | |
BCBS
| Professional | $64.05 | $64.05 | $64.05 | |
Cigna
| Facility | $255.74 | $255.74 | $614.12 | |
Cigna
| Professional | $56.76 | $255.74 | $255.74 | |
United
| Professional | $209.61 | $307.00 | $580.54 |