| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $864.40 | $864.40 | $864.40 | |
Aetna
| Professional | $100.00 | $100.00 | $123.27 | |
BCBS
| Facility | $150.33 | $177.06 | $192.42 | |
BCBS
| Professional | $95.84 | $112.75 | $333.99 | |
Cigna
| Facility | $286.08 | $286.08 | $502.94 | |
Cigna
| Professional | $65.13 | $199.70 | $407.34 | |
United
| Professional | $63.14 | $90.20 | $216.82 |