| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $657.97 | $657.97 | $657.97 | |
Aetna
| Professional | $84.68 | $84.68 | $93.83 | |
BCBS
| Facility | $204.47 | $248.34 | $297.17 | |
BCBS
| Professional | $60.07 | $85.82 | $85.82 | |
Cigna
| Facility | $303.72 | $303.72 | $303.72 | |
Cigna
| Professional | $66.94 | $131.75 | $164.68 | |
United
| Professional | $40.04 | $68.66 | $165.04 |