| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $970.31 | $970.31 | $970.31 | |
Aetna
| Professional | $58.46 | $58.46 | $138.38 | |
BCBS
| Facility | $168.75 | $198.75 | $216.00 | |
BCBS
| Professional | $126.56 | $126.56 | $382.86 | |
Cigna
| Facility | $223.00 | $223.00 | $447.89 | |
Cigna
| Professional | $36.10 | $224.13 | $457.04 | |
United
| Professional | $70.88 | $101.25 | $243.39 |