| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.11 | $364.50 | $364.50 | |
Aetna
| Professional | $99.74 | $115.98 | $122.60 | |
BCBS
| Facility | $110.99 | $143.26 | $155.69 | |
BCBS
| Professional | $77.54 | $91.22 | $91.22 | |
Cigna
| Facility | $290.32 | $290.32 | $510.37 | |
Cigna
| Professional | $79.53 | $179.11 | $406.37 | |
United
| Professional | $51.08 | $99.41 | $240.63 |