| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $676.08 | $676.08 | |
Aetna
| Professional | $537.03 | $537.03 | $676.08 | |
BCBS
| Facility | $407.38 | $407.38 | $562.34 | |
BCBS
| Professional | $70.79 | $70.79 | $107.15 | |
Cigna
| Facility | $549.54 | $549.54 | $549.54 | |
United
| Facility | $501.19 | $645.65 | $1,230.27 | |
United
| Professional | $741.31 | $741.31 | $741.31 |