| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.05 | $307.05 | $489.37 | |
Aetna
| Professional | $296.19 | $365.23 | $489.37 | |
BCBS
| Facility | $424.60 | $424.60 | $424.60 | |
BCBS
| Professional | $424.60 | $424.60 | $424.60 | |
Cigna
| Facility | $335.34 | $335.34 | $335.34 | |
Cigna
| Professional | $244.80 | $244.80 | $335.34 | |
United
| Professional | $178.49 | $260.12 | $432.38 |