| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $200.00 | $366.00 | $406.00 | |
Aetna
| Professional | $158.00 | $366.00 | $406.00 | |
BCBS
| Facility | $332.50 | $332.50 | $332.50 | |
BCBS
| Professional | $332.50 | $332.50 | $332.50 | |
Cigna
| Facility | $130.00 | $151.71 | $591.27 | |
Cigna
| Professional | $85.57 | $91.12 | $342.29 | |
United
| Professional | $84.00 | $120.00 | $300.00 |