| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $244.46 | $447.50 | $447.50 | |
Aetna
| Professional | $141.63 | $142.25 | $150.75 | |
BCBS
| Facility | $203.21 | $203.44 | $289.95 | |
BCBS
| Professional | $129.55 | $129.55 | $182.44 | |
Cigna
| Facility | $356.42 | $356.42 | $626.55 | |
Cigna
| Professional | $114.81 | $229.39 | $498.95 | |
United
| Professional | $72.55 | $103.64 | $285.20 |