| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $323.59 | $812.83 | |
Aetna
| Professional | $131.83 | $151.36 | $398.11 | |
BCBS
| Facility | $177.83 | $234.42 | $812.83 | |
BCBS
| Professional | $87.10 | $114.82 | $346.74 | |
Cigna
| Facility | $114.82 | $346.74 | $812.83 | |
Cigna
| Professional | $95.50 | $213.80 | $426.58 | |
United
| Facility | $107.15 | $177.83 | $234.42 | |
United
| Professional | $74.13 | $107.15 | $239.88 |