| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $446.68 | $446.68 | |
Aetna
| Professional | $446.68 | $446.68 | $446.68 | |
BCBS
| Facility | $398.11 | $398.11 | $436.52 | |
BCBS
| Professional | $380.19 | $380.19 | $380.19 | |
Cigna
| Professional | $371.54 | $371.54 | $371.54 | |
United
| Facility | $407.38 | $758.58 | $1,122.02 | |
United
| Professional | $398.11 | $489.78 | $691.83 |