| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $409.32 | $561.16 | $587.58 | |
Aetna
| Professional | $409.32 | $468.47 | $587.58 | |
BCBS
| Facility | $82.51 | $82.51 | $90.76 | |
BCBS
| Professional | $64.69 | $64.69 | $64.69 | |
Cigna
| Facility | $370.80 | $370.80 | $622.23 | |
Cigna
| Professional | $57.24 | $370.80 | $370.80 | |
United
| Professional | $211.05 | $310.12 | $677.48 |