| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $490.53 | $490.53 | $781.78 | |
Aetna
| Professional | $433.12 | $559.51 | $781.78 | |
BCBS
| Facility | $678.29 | $678.29 | $678.29 | |
BCBS
| Professional | $678.29 | $678.29 | $678.29 | |
Cigna
| Facility | $488.53 | $488.53 | $488.53 | |
Cigna
| Professional | $356.63 | $356.63 | $488.53 | |
United
| Professional | $239.84 | $418.45 | $691.41 |