| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $318.20 | $318.20 | $507.13 | |
Aetna
| Professional | $303.00 | $362.95 | $507.13 | |
BCBS
| Facility | $440.00 | $440.00 | $440.00 | |
BCBS
| Professional | $440.00 | $440.00 | $440.00 | |
Cigna
| Facility | $315.25 | $315.25 | $315.25 | |
Cigna
| Professional | $230.13 | $230.13 | $315.25 | |
United
| Professional | $167.80 | $269.56 | $422.85 |