| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.96 | $645.32 | $645.32 | |
Aetna
| Professional | $99.84 | $105.55 | $121.23 | |
BCBS
| Facility | $142.63 | $167.99 | $182.57 | |
BCBS
| Professional | $106.97 | $106.97 | $174.28 | |
Cigna
| Facility | $421.95 | $421.95 | $421.95 | |
Cigna
| Professional | $73.20 | $195.87 | $398.57 | |
United
| Professional | $59.90 | $85.58 | $205.72 |