| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $482.81 | $482.81 | $769.48 | |
Aetna
| Professional | $481.70 | $550.70 | $769.48 | |
BCBS
| Facility | $667.63 | $667.63 | $667.63 | |
BCBS
| Professional | $667.63 | $667.63 | $667.63 | |
Cigna
| Facility | $501.14 | $501.14 | $501.14 | |
Cigna
| Professional | $365.83 | $365.83 | $501.14 | |
United
| Professional | $266.74 | $404.59 | $641.58 |