| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.67 | $44.67 | $53.70 | |
Aetna
| Professional | $44.67 | $44.67 | $44.67 | |
BCBS
| Facility | $812.83 | $1,023.29 | $2,570.40 | |
BCBS
| Professional | $218.78 | $1,071.52 | $1,348.96 | |
Cigna
| Facility | $251.19 | $380.19 | $380.19 | |
Cigna
| Professional | $275.42 | $275.42 | $380.19 | |
United
| Facility | $489.78 | $489.78 | $489.78 | |
United
| Professional | $4,786.30 | $4,786.30 | $4,786.30 |