| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $375.00 | $431.25 | $750.00 | |
Aetna
| Professional | $292.50 | $318.75 | $318.75 | |
BCBS
| Facility | $158.15 | $191.92 | $258.19 | |
BCBS
| Professional | $243.32 | $2,362.07 | $2,787.24 | |
Cigna
| Facility | $238.88 | $304.69 | $811.69 | |
Cigna
| Professional | $219.38 | $219.38 | $219.38 | |
United
| Professional | $157.50 | $157.50 | $225.00 |