| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.90 | $446.90 | $712.25 | |
Aetna
| Professional | $419.51 | $509.74 | $712.25 | |
BCBS
| Facility | $617.97 | $617.97 | $617.97 | |
BCBS
| Professional | $617.97 | $617.97 | $617.97 | |
Cigna
| Facility | $450.57 | $450.57 | $450.57 | |
Cigna
| Professional | $328.92 | $328.92 | $450.57 | |
United
| Professional | $239.82 | $378.59 | $593.87 |