| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $260.63 | $260.63 | $415.38 | |
Aetna
| Professional | $249.92 | $297.29 | $415.38 | |
BCBS
| Facility | $360.40 | $360.40 | $360.40 | |
BCBS
| Professional | $360.40 | $360.40 | $360.40 | |
Cigna
| Facility | $293.31 | $293.31 | $293.31 | |
Cigna
| Professional | $214.12 | $214.12 | $408.56 | |
United
| Facility | $493.69 | $580.80 | $696.97 | |
United
| Professional | $144.88 | $214.52 | $346.35 |