| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $389.05 | $602.56 | $602.56 | |
Aetna
| Professional | $87.10 | $93.33 | $109.65 | |
BCBS
| Facility | $138.04 | $154.88 | $169.82 | |
BCBS
| Professional | $177.83 | $177.83 | $177.83 | |
Cigna
| Professional | $107.15 | $107.15 | $107.15 | |
United
| Facility | $162.18 | $162.18 | $162.18 | |
United
| Professional | $56.23 | $81.28 | $194.98 |