| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $400.95 | $400.95 | $639.02 | |
Aetna
| Professional | $327.85 | $410.48 | $639.02 | |
BCBS
| Facility | $554.44 | $554.44 | $554.44 | |
BCBS
| Professional | $554.44 | $554.44 | $554.44 | |
Cigna
| Facility | $347.13 | $347.13 | $347.13 | |
Cigna
| Professional | $253.40 | $253.40 | $347.13 | |
United
| Professional | $178.47 | $330.02 | $532.80 |