| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $562.34 | $891.25 | |
Aetna
| Professional | $446.68 | $524.81 | $891.25 | |
BCBS
| Facility | $776.25 | $776.25 | $776.25 | |
BCBS
| Professional | $776.25 | $776.25 | $776.25 | |
Cigna
| Facility | $549.54 | $549.54 | $549.54 | |
Cigna
| Professional | $398.11 | $398.11 | $549.54 | |
United
| Facility | $295.12 | $794.33 | $1,202.26 | |
United
| Professional | $295.12 | $467.74 | $676.08 |