| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.07 | $116.37 | $126.62 | |
Aetna
| Professional | $61.79 | $111.07 | $126.62 | |
BCBS
| Facility | $306.44 | $496.89 | $839.21 | |
BCBS
| Professional | $122.83 | $134.24 | $157.63 | |
Cigna
| Professional | $84.13 | $84.13 | $84.13 | |
United
| Facility | $595.01 | $595.01 | $595.01 | |
United
| Professional | $92.15 | $117.60 | $228.46 |