| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $421.88 | $421.88 | $421.88 | |
Aetna
| Professional | $52.81 | $55.83 | $60.16 | |
BCBS
| Facility | $75.44 | $86.42 | $93.91 | |
BCBS
| Professional | $55.03 | $55.03 | $92.18 | |
Cigna
| Facility | $194.73 | $194.73 | $194.73 | |
Cigna
| Professional | $37.58 | $97.22 | $204.65 | |
United
| Professional | $30.82 | $45.26 | $108.81 |