| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $645.65 | $645.65 | |
Aetna
| Professional | $93.33 | $104.71 | $354.81 | |
BCBS
| Facility | $128.82 | $165.96 | $181.97 | |
BCBS
| Professional | $79.43 | $107.15 | $154.88 | |
Cigna
| Facility | $436.52 | $436.52 | $436.52 | |
Cigna
| Professional | $72.44 | $85.11 | $229.09 | |
United
| Facility | $169.82 | $169.82 | $169.82 | |
United
| Professional | $60.26 | $85.11 | $204.17 |