| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.54 | $398.54 | $622.72 | |
Aetna
| Professional | $386.08 | $597.07 | $662.27 | |
BCBS
| Facility | $551.10 | $551.10 | $551.10 | |
BCBS
| Professional | $551.10 | $551.10 | $551.10 | |
Cigna
| Facility | $564.36 | $564.36 | $564.36 | |
Cigna
| Professional | $411.98 | $411.98 | $564.36 | |
United
| Professional | $222.28 | $354.79 | $513.79 |