| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.83 | $158.49 | $190.55 | |
BCBS
| Facility | $0.02 | $0.02 | $17,782.79 | |
BCBS
| Professional | $100.00 | $112.20 | $131.83 | |
Cigna
| Facility | $501.19 | $501.19 | $501.19 | |
Cigna
| Professional | $138.04 | $245.47 | $380.19 | |
United
| Professional | $141.25 | $194.98 | $398.11 |