| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $220.80 | $295.87 | $768.00 | |
Aetna
| Professional | $163.19 | $220.80 | $220.80 | |
BCBS
| Facility | $158.15 | $191.92 | $258.19 | |
BCBS
| Professional | $249.16 | $506.55 | $597.73 | |
Cigna
| Facility | $124.80 | $312.00 | $831.17 | |
United
| Professional | $80.64 | $80.64 | $161.28 |