| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $831.76 | $954.99 | |
Aetna
| Professional | $794.33 | $794.33 | $954.99 | |
BCBS
| Facility | $794.33 | $794.33 | $794.33 | |
BCBS
| Professional | $537.03 | $537.03 | $537.03 | |
Cigna
| Facility | $794.33 | $794.33 | $794.33 | |
Cigna
| Professional | $794.33 | $794.33 | $812.83 | |
United
| Facility | $0.76 | $302.00 | $758.58 | |
United
| Professional | $316.23 | $794.33 | $1,230.27 |