| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.00 | $520.97 | $545.48 | |
Aetna
| Professional | $380.00 | $425.75 | $545.48 | |
BCBS
| Facility | $73.40 | $73.40 | $80.73 | |
BCBS
| Professional | $59.34 | $59.34 | $59.34 | |
Cigna
| Facility | $429.00 | $429.00 | $581.96 | |
Cigna
| Professional | $54.03 | $429.00 | $429.00 | |
United
| Professional | $181.46 | $275.26 | $505.61 |