| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.00 | $172.50 | $300.00 | |
Aetna
| Professional | $117.00 | $172.50 | $172.50 | |
BCBS
| Facility | $57.67 | $69.98 | $94.15 | |
BCBS
| Professional | $97.33 | $2,362.07 | $2,787.24 | |
Cigna
| Facility | $95.55 | $121.88 | $324.68 | |
Cigna
| Professional | $87.75 | $87.75 | $87.75 | |
United
| Professional | $63.00 | $63.00 | $90.00 |