| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.60 | $575.60 | $575.60 | |
Aetna
| Professional | $466.24 | $489.26 | $575.60 | |
BCBS
| Facility | $390.97 | $546.82 | $654.25 | |
BCBS
| Professional | $546.82 | $546.82 | $557.76 | |
Cigna
| Facility | $508.43 | $508.43 | $508.43 | |
Cigna
| Professional | $508.43 | $508.43 | $508.43 | |
United
| Professional | $516.53 | $575.60 | $661.94 |