| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.30 | $457.30 | $714.53 | |
Aetna
| Professional | $429.27 | $664.88 | $714.53 | |
BCBS
| Facility | $632.35 | $632.35 | $632.35 | |
BCBS
| Professional | $632.35 | $632.35 | $632.35 | |
Cigna
| Facility | $525.23 | $525.23 | $525.23 | |
Cigna
| Professional | $383.42 | $383.42 | $525.23 | |
United
| Professional | $241.14 | $407.10 | $613.24 |