| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $612.74 | $612.74 | $957.41 | |
Aetna
| Professional | $575.17 | $915.51 | $957.41 | |
BCBS
| Facility | $847.29 | $847.29 | $847.29 | |
BCBS
| Professional | $847.29 | $847.29 | $847.29 | |
Cigna
| Facility | $719.79 | $719.79 | $719.79 | |
Cigna
| Professional | $525.45 | $525.45 | $719.79 | |
United
| Professional | $363.65 | $545.48 | $840.57 |