| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $565.50 | $565.50 | $883.60 | |
Aetna
| Professional | $565.50 | $883.60 | $990.68 | |
BCBS
| Facility | $781.97 | $781.97 | $781.97 | |
BCBS
| Professional | $781.97 | $781.97 | $781.97 | |
Cigna
| Facility | $765.11 | $765.11 | $765.11 | |
Cigna
| Professional | $558.53 | $558.53 | $765.11 | |
United
| Professional | $333.91 | $503.42 | $771.82 |