| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $453.54 | $453.54 | $453.54 | |
Aetna
| Professional | $36.36 | $214.17 | $552.67 | |
BCBS
| Facility | $100.00 | $281.00 | $4,962.28 | |
BCBS
| Professional | $45.50 | $53.53 | $80.56 | |
Cigna
| Facility | $710.60 | $710.60 | $710.60 | |
Cigna
| Professional | $635.49 | $901.95 | $901.95 | |
United
| Professional | $62.68 | $79.53 | $152.74 |