| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.29 | $588.29 | $937.58 | |
Aetna
| Professional | $552.24 | $690.50 | $937.58 | |
BCBS
| Facility | $813.49 | $813.49 | $813.49 | |
BCBS
| Professional | $813.49 | $813.49 | $813.49 | |
Cigna
| Facility | $620.97 | $620.97 | $620.97 | |
Cigna
| Professional | $453.31 | $453.31 | $620.97 | |
United
| Professional | $330.52 | $495.79 | $781.75 |