| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $556.69 | $556.69 | $887.23 | |
Aetna
| Professional | $530.12 | $634.98 | $887.23 | |
BCBS
| Facility | $769.79 | $769.79 | $769.79 | |
BCBS
| Professional | $769.79 | $769.79 | $769.79 | |
Cigna
| Facility | $551.53 | $551.53 | $551.53 | |
Cigna
| Professional | $402.62 | $402.62 | $551.53 | |
United
| Professional | $293.56 | $471.59 | $739.76 |