| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $85.11 | $85.11 | |
Aetna
| Professional | $48.98 | $70.79 | $85.11 | |
BCBS
| Facility | $457.09 | $457.09 | $616.60 | |
Cigna
| Facility | $74.13 | $275.42 | $933.25 | |
Cigna
| Professional | $47.86 | $91.20 | $128.82 | |
United
| Facility | $660.69 | $851.14 | $1,621.81 | |
United
| Professional | $83.18 | $128.82 | $186.21 |