| 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 | $450.00 | $450.00 | $1,472.41 | |
BCBS
| Professional | $315.00 | $450.00 | $450.00 | |
Cigna
| Facility | $445.41 | $450.00 | $478.57 | |
Cigna
| Professional | $371.73 | $371.73 | $371.73 | |
United
| Professional | $441.45 | $587.17 | $956.03 |