| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $408.48 | $408.48 | $408.48 | |
Aetna
| Professional | $105.23 | $111.24 | $123.27 | |
BCBS
| Facility | $150.33 | $177.06 | $192.42 | |
BCBS
| Professional | $112.75 | $112.75 | $183.69 | |
Cigna
| Facility | $444.64 | $444.64 | $444.64 | |
Cigna
| Professional | $77.13 | $206.41 | $420.01 | |
United
| Professional | $63.14 | $90.20 | $216.82 |