| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $367.77 | $367.77 | $367.77 | |
Aetna
| Professional | $52.45 | $68.52 | $68.52 | |
BCBS
| Facility | $63.96 | $75.33 | $81.87 | |
BCBS
| Professional | $40.77 | $47.97 | $200.39 | |
Cigna
| Facility | $115.46 | $115.46 | $202.97 | |
Cigna
| Professional | $22.29 | $84.77 | $173.46 | |
United
| Professional | $26.86 | $38.38 | $92.25 |