| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $319.36 | $319.36 | $319.36 | |
Aetna
| Professional | $45.54 | $45.54 | $135.00 | |
BCBS
| Facility | $55.54 | $65.42 | $71.09 | |
BCBS
| Professional | $29.16 | $41.66 | $41.66 | |
Cigna
| Facility | $147.41 | $174.08 | $306.02 | |
Cigna
| Professional | $37.94 | $64.02 | $80.02 | |
United
| Professional | $19.44 | $33.32 | $80.11 |