| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.85 | $537.85 | $857.20 | |
Aetna
| Professional | $439.79 | $537.85 | $857.20 | |
BCBS
| Facility | $743.72 | $743.72 | $743.72 | |
BCBS
| Professional | $743.72 | $743.72 | $743.72 | |
Cigna
| Facility | $499.17 | $499.17 | $499.17 | |
Cigna
| Professional | $364.39 | $364.39 | $499.17 | |
United
| Professional | $256.64 | $449.13 | $714.72 |