| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.48 | $338.48 | $528.87 | |
Aetna
| Professional | $322.41 | $528.87 | $656.21 | |
BCBS
| Facility | $468.03 | $468.03 | $468.03 | |
BCBS
| Professional | $468.03 | $468.03 | $468.03 | |
Cigna
| Facility | $427.13 | $427.13 | $427.13 | |
Cigna
| Professional | $311.80 | $311.80 | $427.13 | |
United
| Professional | $200.88 | $301.32 | $476.60 |