| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $429.27 | $429.27 | $684.14 | |
Aetna
| Professional | $429.27 | $540.87 | $684.14 | |
BCBS
| Facility | $593.58 | $593.58 | $593.58 | |
BCBS
| Professional | $593.58 | $593.58 | $593.58 | |
Cigna
| Facility | $550.80 | $550.80 | $550.80 | |
Cigna
| Professional | $402.09 | $402.09 | $550.80 | |
United
| Professional | $254.76 | $363.65 | $604.45 |