| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $616.60 | $977.24 | |
Aetna
| Professional | $489.78 | $588.84 | $977.24 | |
BCBS
| Facility | $851.14 | $851.14 | $851.14 | |
BCBS
| Professional | $851.14 | $851.14 | $851.14 | |
Cigna
| Facility | $602.56 | $602.56 | $602.56 | |
Cigna
| Professional | $446.68 | $446.68 | $602.56 | |
United
| Facility | $331.13 | $870.96 | $1,318.26 | |
United
| Professional | $323.59 | $501.19 | $741.31 |