| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $420.65 | $420.65 | $657.26 | |
Aetna
| Professional | $394.86 | $624.04 | $657.26 | |
BCBS
| Facility | $581.66 | $581.66 | $581.66 | |
BCBS
| Professional | $581.66 | $581.66 | $581.66 | |
Cigna
| Facility | $485.57 | $485.57 | $485.57 | |
Cigna
| Professional | $354.47 | $354.47 | $485.57 | |
United
| Professional | $249.65 | $374.47 | $592.91 |