| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $771.25 | $771.25 | $771.25 | |
Aetna
| Professional | $93.89 | $99.26 | $109.99 | |
BCBS
| Facility | $142.18 | $157.97 | $164.98 | |
BCBS
| Professional | $177.72 | $177.72 | $177.72 | |
Cigna
| Professional | $107.30 | $107.30 | $107.30 | |
United
| Professional | $56.33 | $80.48 | $193.46 |