| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.83 | $295.83 | $295.83 | |
Aetna
| Professional | $42.19 | $83.30 | $217.76 | |
BCBS
| Facility | $51.45 | $60.60 | $65.86 | |
BCBS
| Professional | $38.59 | $38.59 | $200.39 | |
Cigna
| Facility | $136.55 | $147.97 | $260.14 | |
Cigna
| Professional | $68.48 | $68.48 | $168.52 | |
United
| Professional | $21.61 | $30.87 | $74.20 |