| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $399.74 | $399.74 | $399.74 | |
Aetna
| Professional | $57.01 | $71.26 | $71.79 | |
BCBS
| Facility | $69.52 | $81.88 | $88.99 | |
BCBS
| Professional | $36.50 | $52.14 | $52.14 | |
Cigna
| Facility | $184.52 | $191.42 | $336.51 | |
Cigna
| Professional | $40.67 | $80.12 | $100.15 | |
United
| Professional | $24.33 | $69.52 | $100.27 |