| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $256.00 | $256.00 | $408.00 | |
Aetna
| Professional | $256.00 | $310.33 | $412.00 | |
BCBS
| Facility | $423.78 | $423.78 | $423.78 | |
BCBS
| Professional | $423.78 | $423.78 | $423.78 | |
Cigna
| Facility | $382.03 | $382.03 | $382.03 | |
Cigna
| Professional | $278.88 | $278.88 | $382.03 | |
United
| Professional | $171.75 | $277.52 | $432.32 |