| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.69 | $803.00 | $2,812.00 | |
Aetna
| Professional | $128.08 | $222.62 | $283.02 | |
BCBS
| Facility | $379.42 | $379.42 | $432.54 | |
BCBS
| Professional | $147.11 | $216.34 | $336.14 | |
Cigna
| Facility | $155.02 | $282.37 | $515.00 | |
Cigna
| Professional | $142.35 | $241.46 | $408.35 | |
Qualchoice
| Professional | $147.19 | $147.19 | $147.19 | |
United
| Facility | $95.00 | $271.00 | $768.00 | |
United
| Professional | $198.17 | $261.43 | $460.68 |