| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.53 | $405.53 | $405.53 | |
Aetna
| Professional | $85.00 | $128.91 | $271.42 | |
BCBS
| Facility | $184.15 | $389.85 | $407.13 | |
BCBS
| Professional | $248.25 | $248.25 | $303.05 | |
Cigna
| Facility | $322.98 | $322.98 | $878.53 | |
Cigna
| Professional | $104.04 | $439.15 | $895.57 | |
United
| Professional | $92.31 | $184.61 | $529.60 |