| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $297.58 | $297.58 | $474.27 | |
Aetna
| Professional | $291.66 | $339.43 | $474.27 | |
BCBS
| Facility | $411.50 | $411.50 | $411.50 | |
BCBS
| Professional | $411.50 | $411.50 | $411.50 | |
Cigna
| Facility | $387.54 | $387.54 | $387.54 | |
Cigna
| Professional | $282.89 | $282.89 | $387.54 | |
United
| Professional | $164.30 | $252.10 | $395.45 |