| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.57 | $302.57 | $472.77 | |
Aetna
| Professional | $284.04 | $440.77 | $472.77 | |
BCBS
| Facility | $418.41 | $418.41 | $418.41 | |
BCBS
| Professional | $418.41 | $418.41 | $418.41 | |
Cigna
| Facility | $340.42 | $340.42 | $340.42 | |
Cigna
| Professional | $248.51 | $248.51 | $340.42 | |
United
| Professional | $166.97 | $269.36 | $426.08 |