| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $621.89 | $621.89 | $991.13 | |
Aetna
| Professional | $616.75 | $709.34 | $991.13 | |
BCBS
| Facility | $691.34 | $691.34 | $691.34 | |
BCBS
| Professional | $691.34 | $691.34 | $691.34 | |
Cigna
| Facility | $616.27 | $616.27 | $616.27 | |
Cigna
| Professional | $449.88 | $449.88 | $616.27 | |
United
| Professional | $328.02 | $536.35 | $876.57 |