| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $718.52 | $985.07 | $1,031.42 | |
Aetna
| Professional | $718.52 | $803.66 | $1,031.42 | |
BCBS
| Facility | $186.23 | $186.23 | $204.86 | |
BCBS
| Professional | $135.16 | $135.16 | $135.16 | |
Cigna
| Facility | $95.00 | $95.00 | $95.00 | |
Cigna
| Professional | $71.76 | $275.22 | $5,921.28 | |
United
| Professional | $40.57 | $62.77 | $159.41 |