| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $856.52 | $856.52 | $856.52 | |
Aetna
| Professional | $115.86 | $122.15 | $122.48 | |
BCBS
| Facility | $157.91 | $175.45 | $183.22 | |
BCBS
| Professional | $197.37 | $197.37 | $197.37 | |
Cigna
| Facility | $439.32 | $439.32 | $439.32 | |
Cigna
| Professional | $96.83 | $96.83 | $96.83 | |
United
| Professional | $62.56 | $89.38 | $238.73 |