| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.36 | $245.36 | $245.36 | |
Aetna
| Professional | $201.87 | $213.28 | $215.30 | |
BCBS
| Facility | $3,594.50 | $6,553.50 | $11,163.11 | |
BCBS
| Professional | $217.71 | $306.02 | $424.59 | |
Cigna
| Professional | $190.36 | $190.36 | $216.31 | |
United
| Professional | $113.63 | $164.76 | $290.38 |