| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $336.32 | $336.32 | $336.32 | |
Aetna
| Professional | $47.96 | $83.30 | $104.13 | |
BCBS
| Facility | $58.49 | $68.89 | $74.87 | |
BCBS
| Professional | $43.87 | $43.87 | $200.39 | |
Cigna
| Facility | $92.67 | $92.67 | $162.91 | |
Cigna
| Professional | $54.02 | $77.58 | $157.87 | |
United
| Professional | $24.57 | $35.09 | $84.36 |