| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $394.09 | $394.09 | $628.09 | |
Aetna
| Professional | $370.48 | $449.51 | $628.09 | |
BCBS
| Facility | $544.94 | $544.94 | $544.94 | |
BCBS
| Professional | $544.94 | $544.94 | $544.94 | |
Cigna
| Facility | $408.71 | $408.71 | $408.71 | |
Cigna
| Professional | $298.36 | $298.36 | $408.71 | |
United
| Professional | $217.55 | $333.85 | $523.69 |