| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $366.46 | $366.46 | $584.04 | |
Aetna
| Professional | $366.46 | $423.80 | $584.04 | |
BCBS
| Facility | $506.73 | $506.73 | $506.73 | |
BCBS
| Professional | $506.73 | $506.73 | $506.73 | |
Cigna
| Facility | $408.60 | $408.60 | $408.60 | |
Cigna
| Professional | $298.27 | $298.27 | $408.60 | |
United
| Professional | $217.48 | $310.44 | $516.00 |