| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $293.64 | $293.64 | $293.64 | |
Aetna
| Professional | $41.88 | $58.46 | $58.46 | |
BCBS
| Facility | $51.07 | $60.15 | $65.37 | |
BCBS
| Professional | $38.29 | $38.29 | $119.29 | |
Cigna
| Facility | $135.55 | $153.71 | $270.22 | |
Cigna
| Professional | $31.13 | $68.00 | $138.38 | |
United
| Professional | $21.45 | $51.07 | $81.70 |