| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $296.88 | $296.88 | $473.16 | |
Aetna
| Professional | $292.10 | $338.63 | $473.16 | |
BCBS
| Facility | $410.53 | $410.53 | $410.53 | |
BCBS
| Professional | $410.53 | $410.53 | $410.53 | |
Cigna
| Facility | $331.03 | $331.03 | $331.03 | |
Cigna
| Professional | $241.65 | $241.65 | $331.03 | |
United
| Professional | $176.20 | $251.50 | $418.05 |