| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $442.84 | $442.84 | $691.93 | |
Aetna
| Professional | $429.99 | $691.93 | $758.75 | |
BCBS
| Facility | $612.35 | $612.35 | $612.35 | |
BCBS
| Professional | $612.35 | $612.35 | $612.35 | |
Cigna
| Facility | $589.44 | $589.44 | $589.44 | |
Cigna
| Professional | $430.29 | $430.29 | $589.44 | |
United
| Professional | $262.82 | $394.23 | $607.49 |