| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $381.99 | $381.99 | $608.79 | |
Aetna
| Professional | $358.58 | $435.71 | $608.79 | |
BCBS
| Facility | $528.22 | $528.22 | $528.22 | |
BCBS
| Professional | $528.22 | $528.22 | $528.22 | |
Cigna
| Facility | $419.48 | $419.48 | $419.48 | |
Cigna
| Professional | $306.22 | $306.22 | $419.48 | |
United
| Professional | $201.43 | $323.60 | $537.90 |