| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $787.75 | $787.75 | $787.75 | |
Aetna
| Professional | $95.90 | $101.38 | $112.34 | |
BCBS
| Facility | $137.00 | $161.36 | $175.36 | |
BCBS
| Professional | $102.75 | $102.75 | $167.40 | |
Cigna
| Facility | $363.61 | $363.61 | $363.61 | |
Cigna
| Professional | $68.01 | $181.98 | $370.31 | |
United
| Professional | $57.54 | $82.20 | $197.60 |