| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.26 | $489.26 | $498.26 | |
Aetna
| Professional | $460.48 | $477.75 | $489.26 | |
BCBS
| Facility | $241.91 | $582.38 | $1,441.14 | |
BCBS
| Professional | $498.26 | $505.89 | $575.60 | |
Cigna
| Facility | $508.43 | $508.43 | $528.86 | |
Cigna
| Professional | $508.43 | $508.43 | $551.60 | |
United
| Professional | $575.60 | $575.60 | $661.94 |