| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $540.96 | $540.96 | $540.96 | |
Aetna
| Professional | $540.96 | $540.96 | $876.05 | |
BCBS
| Facility | $558.16 | $665.92 | $1,254.50 | |
BCBS
| Professional | $241.64 | $329.95 | $650.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $920.40 | $920.40 | $920.40 | |
United
| Professional | $747.40 | $747.40 | $747.40 |