| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $507.15 | $507.15 | $507.15 | |
Aetna
| Professional | $49.68 | $49.68 | $72.31 | |
BCBS
| Facility | $88.20 | $103.88 | $112.90 | |
BCBS
| Professional | $66.15 | $66.15 | $146.63 | |
Cigna
| Facility | $115.14 | $115.14 | $234.10 | |
Cigna
| Professional | $45.30 | $116.85 | $238.75 | |
United
| Professional | $37.04 | $52.92 | $127.21 |