| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.19 | $489.19 | $779.65 | |
Aetna
| Professional | $459.21 | $557.98 | $779.65 | |
BCBS
| Facility | $676.46 | $676.46 | $676.46 | |
BCBS
| Professional | $676.46 | $676.46 | $676.46 | |
Cigna
| Facility | $579.51 | $579.51 | $579.51 | |
Cigna
| Professional | $423.04 | $423.04 | $579.51 | |
United
| Professional | $270.89 | $426.41 | $689.53 |