| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $339.39 | $621.28 | $621.28 | |
Aetna
| Professional | $113.20 | $169.99 | $197.48 | |
BCBS
| Facility | $244.17 | $253.91 | $282.12 | |
BCBS
| Professional | $64.31 | $155.47 | $155.47 | |
Cigna
| Facility | $494.84 | $494.84 | $869.90 | |
Cigna
| Professional | $159.40 | $305.54 | $692.88 | |
United
| Professional | $87.07 | $207.31 | $410.16 |