| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.36 | $164.82 | $3,109.00 | |
Aetna
| Professional | $64.22 | $115.37 | $162.49 | |
BCBS
| Facility | $379.42 | $379.42 | $455.30 | |
BCBS
| Professional | $70.63 | $103.87 | $193.46 | |
Cigna
| Facility | $88.68 | $88.68 | $88.68 | |
Cigna
| Professional | $63.43 | $126.34 | $213.57 | |
United
| Facility | $130.00 | $328.00 | $858.00 | |
United
| Professional | $104.42 | $152.55 | $260.11 |