| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $450.00 | $450.00 | $450.00 | |
Aetna
| Professional | $450.00 | $450.00 | $450.00 | |
BCBS
| Facility | $403.39 | $489.53 | $658.57 | |
BCBS
| Professional | $216.72 | $226.01 | $309.60 | |
Cigna
| Professional | $371.73 | $371.73 | $371.73 | |
United
| Professional | $325.63 | $415.19 | $605.83 |