| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $419.31 | $419.31 | $419.31 | |
Aetna
| Professional | $223.41 | $396.02 | $419.31 | |
BCBS
| Facility | $469.87 | $570.22 | $767.12 | |
BCBS
| Professional | $406.00 | $406.00 | $406.00 | |
Cigna
| Professional | $40.57 | $40.57 | $745.31 | |
United
| Professional | $17.02 | $32.40 | $330.48 |