| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152.00 | $152.00 | $152.00 | |
Aetna
| Professional | $369.19 | $369.19 | $577.28 | |
BCBS
| Facility | $643.82 | $643.82 | $643.82 | |
BCBS
| Professional | $643.82 | $643.82 | $643.82 | |
Cigna
| Facility | $408.60 | $408.60 | $759.89 | |
Cigna
| Professional | $298.27 | $298.27 | $408.60 | |
United
| Professional | $294.85 | $326.23 | $362.18 |