| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $820.12 | $820.12 | $820.12 | |
Aetna
| Professional | $99.84 | $105.55 | $116.96 | |
BCBS
| Facility | $0.02 | $292.47 | $324.97 | |
BCBS
| Professional | $188.98 | $188.98 | $188.98 | |
Cigna
| Facility | $421.95 | $421.95 | $421.95 | |
Cigna
| Professional | $114.10 | $114.10 | $114.10 | |
United
| Professional | $59.90 | $85.58 | $205.72 |