| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $470.26 | $470.26 | $749.48 | |
Aetna
| Professional | $467.44 | $536.39 | $749.48 | |
BCBS
| Facility | $650.26 | $650.26 | $650.26 | |
BCBS
| Professional | $650.26 | $650.26 | $650.26 | |
Cigna
| Facility | $524.34 | $524.34 | $524.34 | |
Cigna
| Professional | $382.77 | $382.77 | $524.34 | |
United
| Professional | $279.08 | $398.37 | $662.17 |