| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.63 | $119.61 | $870.14 | |
Aetna
| Professional | $51.63 | $119.61 | $132.68 | |
BCBS
| Facility | $80.63 | $80.63 | $80.63 | |
BCBS
| Professional | $80.63 | $80.63 | $80.63 | |
Cigna
| Facility | $42.48 | $49.57 | $133.02 | |
Cigna
| Professional | $29.83 | $68.30 | $124.19 | |
United
| Professional | $27.45 | $39.22 | $127.51 |