| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $381.60 | $381.60 | $381.60 | |
Aetna
| Professional | $318.00 | $333.90 | $381.60 | |
BCBS
| Facility | $345.00 | $345.00 | $345.00 | |
BCBS
| Professional | $283.83 | $345.00 | $345.00 | |
Cigna
| Facility | $300.00 | $318.00 | $318.00 | |
Cigna
| Professional | $318.00 | $318.00 | $345.00 | |
United
| Professional | $302.10 | $318.00 | $362.52 |