| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $320.30 | $320.30 | $510.48 | |
Aetna
| Professional | $315.69 | $366.10 | $510.48 | |
BCBS
| Facility | $442.90 | $442.90 | $442.90 | |
BCBS
| Professional | $442.90 | $442.90 | $442.90 | |
Cigna
| Facility | $328.44 | $328.44 | $328.44 | |
Cigna
| Professional | $239.76 | $239.76 | $328.44 | |
United
| Professional | $174.82 | $271.33 | $425.63 |