| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $490.23 | $490.23 | $765.98 | |
Aetna
| Professional | $490.23 | $765.98 | $871.56 | |
BCBS
| Facility | $677.89 | $677.89 | $677.89 | |
BCBS
| Professional | $677.89 | $677.89 | $677.89 | |
Cigna
| Facility | $673.11 | $673.11 | $673.11 | |
Cigna
| Professional | $491.37 | $491.37 | $673.11 | |
United
| Professional | $290.94 | $436.42 | $672.51 |