| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.81 | $501.81 | $501.81 | |
Aetna
| Professional | $113.09 | $131.36 | $519.10 | |
BCBS
| Facility | $455.17 | $507.78 | $744.78 | |
BCBS
| Professional | $163.96 | $192.89 | $262.04 | |
Cigna
| Facility | $154.99 | $654.17 | $1,150.01 | |
Cigna
| Professional | $119.66 | $221.73 | $331.96 | |
United
| Professional | $73.11 | $203.61 | $292.99 |