| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $610.62 | $610.62 | $973.18 | |
Aetna
| Professional | $610.62 | $735.68 | $973.18 | |
BCBS
| Facility | $844.37 | $844.37 | $844.37 | |
BCBS
| Professional | $844.37 | $844.37 | $844.37 | |
Cigna
| Facility | $680.86 | $680.86 | $680.86 | |
Cigna
| Professional | $497.03 | $497.03 | $680.86 | |
United
| Facility | $346.24 | $538.75 | $538.75 | |
United
| Professional | $362.40 | $517.28 | $837.66 |