| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $390.48 | $390.48 | $622.33 | |
Aetna
| Professional | $366.53 | $445.39 | $622.33 | |
BCBS
| Facility | $539.94 | $539.94 | $539.94 | |
BCBS
| Professional | $539.94 | $539.94 | $539.94 | |
Cigna
| Facility | $386.84 | $386.84 | $386.84 | |
Cigna
| Professional | $282.39 | $282.39 | $386.84 | |
United
| Professional | $205.90 | $330.79 | $518.89 |