| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $301.35 | $551.47 | $611.74 | |
Aetna
| Professional | $238.07 | $551.47 | $611.74 | |
BCBS
| Facility | $371.78 | $371.78 | $371.78 | |
BCBS
| Professional | $371.78 | $371.78 | $371.78 | |
Cigna
| Facility | $195.88 | $205.67 | $228.59 | |
Cigna
| Professional | $128.75 | $233.14 | $439.83 | |
United
| Professional | $126.57 | $180.81 | $514.40 |