| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.51 | $454.77 | $613.94 | |
Aetna
| Professional | $196.32 | $196.32 | $196.32 | |
BCBS
| Facility | $323.06 | $335.49 | $335.49 | |
BCBS
| Professional | $2,059.51 | $2,059.51 | $2,059.51 | |
Cigna
| Facility | $161.53 | $169.61 | $188.51 | |
United
| Professional | $104.37 | $149.11 | $372.77 |