| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $867.67 | $867.67 | $867.67 | |
Aetna
| Professional | $383.56 | $383.56 | $599.75 | |
BCBS
| Facility | $668.88 | $668.88 | $668.88 | |
BCBS
| Professional | $668.88 | $668.88 | $668.88 | |
Cigna
| Facility | $460.00 | $460.00 | $753.42 | |
Cigna
| Professional | $335.80 | $335.80 | $460.00 | |
United
| Professional | $308.83 | $341.71 | $379.36 |