| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $316.23 | $512.86 | |
Aetna
| Professional | $251.19 | $302.00 | $512.86 | |
BCBS
| Facility | $436.52 | $436.52 | $436.52 | |
BCBS
| Professional | $446.68 | $446.68 | $446.68 | |
Cigna
| Facility | $316.23 | $316.23 | $316.23 | |
Cigna
| Professional | $229.09 | $229.09 | $316.23 | |
United
| Facility | $169.82 | $457.09 | $691.83 | |
United
| Professional | $165.96 | $269.15 | $389.05 |