| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $282.88 | $325.31 | $565.76 | |
Aetna
| Professional | $220.65 | $325.31 | $325.31 | |
BCBS
| Facility | $57.67 | $69.98 | $94.15 | |
BCBS
| Professional | $174.68 | $212.16 | $250.35 | |
Cigna
| Facility | $183.87 | $229.84 | $612.29 | |
United
| Professional | $118.81 | $118.81 | $169.73 |