| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $615.25 | $615.25 | $615.25 | |
Aetna
| Professional | $74.90 | $74.90 | $79.18 | |
BCBS
| Facility | $0.02 | $219.41 | $243.79 | |
BCBS
| Professional | $141.78 | $141.78 | $141.78 | |
Cigna
| Professional | $62.60 | $62.60 | $62.60 | |
United
| Professional | $44.94 | $64.20 | $154.33 |