| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $290.85 | $290.85 | $463.54 | |
Aetna
| Professional | $290.85 | $340.45 | $463.54 | |
BCBS
| Facility | $402.18 | $402.18 | $402.18 | |
BCBS
| Professional | $402.18 | $402.18 | $402.18 | |
Cigna
| Facility | $324.30 | $324.30 | $324.30 | |
Cigna
| Professional | $236.74 | $236.74 | $486.77 | |
United
| Professional | $172.62 | $241.44 | $398.99 |