| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,163.80 | $1,163.80 | $1,163.80 | |
Aetna
| Professional | $141.68 | $149.78 | $165.97 | |
BCBS
| Facility | $202.40 | $238.39 | $259.07 | |
BCBS
| Professional | $151.80 | $151.80 | $247.31 | |
Cigna
| Facility | $537.19 | $537.19 | $537.19 | |
Cigna
| Professional | $100.58 | $268.66 | $547.66 | |
United
| Professional | $85.01 | $115.04 | $291.92 |