| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.39 | $927.00 | $2,250.00 | |
Aetna
| Professional | $116.51 | $162.41 | $198.66 | |
BCBS
| Facility | $217.70 | $264.19 | $355.42 | |
BCBS
| Professional | $130.66 | $179.00 | $225.77 | |
Cigna
| Professional | $113.78 | $179.11 | $394.45 | |
United
| Facility | $241.00 | $850.00 | $1,349.00 | |
United
| Professional | $153.85 | $189.68 | $221.30 |