| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $328.43 | $328.43 | $523.42 | |
Aetna
| Professional | $312.74 | $374.61 | $523.42 | |
BCBS
| Facility | $454.14 | $454.14 | $454.14 | |
BCBS
| Professional | $454.14 | $454.14 | $454.14 | |
Cigna
| Facility | $325.37 | $325.37 | $325.37 | |
Cigna
| Professional | $237.52 | $237.52 | $325.37 | |
United
| Professional | $173.18 | $272.64 | $436.44 |