| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $657.97 | $657.97 | $657.97 | |
Aetna
| Professional | $80.09 | $84.68 | $93.83 | |
BCBS
| Facility | $140.75 | $234.65 | $297.17 | |
BCBS
| Professional | $72.95 | $85.82 | $85.82 | |
Cigna
| Facility | $303.72 | $303.72 | $303.72 | |
Cigna
| Professional | $66.94 | $66.94 | $66.94 | |
United
| Professional | $48.06 | $68.66 | $165.04 |