| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $436.52 | $676.08 | $676.08 | |
Aetna
| Professional | $100.00 | $104.71 | $302.00 | |
BCBS
| Facility | $134.90 | $144.54 | $154.88 | |
BCBS
| Professional | $69.18 | $91.20 | $162.18 | |
Cigna
| Facility | $371.54 | $371.54 | $371.54 | |
Cigna
| Professional | $72.44 | $85.11 | $234.42 | |
United
| Facility | $147.91 | $147.91 | $147.91 | |
United
| Professional | $63.10 | $83.18 | $218.78 |