| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $794.33 | $794.33 | |
Aetna
| Professional | $114.82 | $144.54 | $436.52 | |
BCBS
| Facility | $158.49 | $204.17 | $223.87 | |
BCBS
| Professional | $97.72 | $131.83 | $190.55 | |
Cigna
| Facility | $478.63 | $478.63 | $478.63 | |
Cigna
| Professional | $87.10 | $104.71 | $269.15 | |
United
| Facility | $208.93 | $208.93 | $208.93 | |
United
| Professional | $74.13 | $104.71 | $251.19 |