| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.03 | $202.45 | $346.06 | |
Aetna
| Professional | $202.45 | $202.45 | $202.45 | |
BCBS
| Facility | $537.89 | $652.76 | $878.17 | |
BCBS
| Professional | $112.27 | $112.27 | $448.43 | |
Cigna
| Facility | $112.47 | $140.59 | $374.53 | |
Cigna
| Professional | $120.30 | $199.07 | $248.83 | |
United
| Professional | $72.67 | $72.67 | $173.03 |