| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $942.77 | $942.77 | $942.77 | |
Aetna
| Professional | $134.44 | $141.69 | $149.79 | |
BCBS
| Facility | $320.62 | $356.24 | $525.67 | |
BCBS
| Professional | $129.05 | $151.82 | $151.82 | |
Cigna
| Facility | $483.53 | $483.53 | $483.53 | |
Cigna
| Professional | $106.58 | $106.58 | $106.58 | |
United
| Professional | $68.86 | $121.45 | $291.95 |