| 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 | $400.87 | $400.87 | $440.96 | |
BCBS
| Professional | $381.78 | $381.78 | $381.78 | |
Cigna
| Professional | $371.73 | $371.73 | $371.73 | |
United
| Professional | $399.36 | $489.13 | $694.39 |