| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $486.70 | $667.25 | $698.65 | |
Aetna
| Professional | $486.70 | $544.29 | $698.65 | |
BCBS
| Facility | $128.29 | $128.29 | $141.12 | |
BCBS
| Professional | $83.90 | $83.90 | $83.90 | |
Cigna
| Facility | $552.13 | $552.13 | $634.48 | |
Cigna
| Professional | $59.71 | $552.13 | $552.13 | |
United
| Professional | $325.24 | $481.28 | $900.82 |