| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $702.77 | $702.77 | $702.77 | |
Aetna
| Professional | $100.22 | $105.62 | $111.66 | |
BCBS
| Facility | $143.94 | $150.33 | $156.44 | |
BCBS
| Professional | $91.67 | $91.67 | $184.38 | |
Cigna
| Facility | $360.43 | $360.43 | $360.43 | |
Cigna
| Professional | $74.98 | $180.07 | $408.32 | |
United
| Professional | $51.33 | $82.39 | $217.63 |