| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $524.81 | $1,412.54 | |
Aetna
| Professional | $186.21 | $234.42 | $478.63 | |
BCBS
| Facility | $257.04 | $346.74 | $1,202.26 | |
BCBS
| Professional | $128.82 | $208.93 | $575.44 | |
Cigna
| Facility | $169.82 | $524.81 | $1,202.26 | |
Cigna
| Professional | $141.25 | $316.23 | $630.96 | |
United
| Facility | $154.88 | $263.03 | $346.74 | |
United
| Professional | $109.65 | $154.88 | $354.81 |