| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $776.25 | $776.25 | |
Aetna
| Professional | $128.82 | $128.82 | $162.18 | |
BCBS
| Facility | $0.02 | $426.58 | $478.63 | |
BCBS
| Professional | $263.03 | $263.03 | $263.03 | |
Cigna
| Facility | $616.60 | $616.60 | $616.60 | |
United
| Facility | $239.88 | $239.88 | $239.88 | |
United
| Professional | $83.18 | $120.23 | $288.40 |