| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.19 | $562.34 | $1,318.26 | |
Aetna
| Professional | $120.23 | $263.03 | $645.65 | |
BCBS
| Facility | $257.04 | $416.87 | $1,380.38 | |
BCBS
| Professional | $117.49 | $144.54 | $389.05 | |
Cigna
| Facility | $169.82 | $562.34 | $1,288.25 | |
Cigna
| Professional | $91.20 | $371.54 | $776.25 | |
United
| Facility | $104.71 | $323.59 | $389.05 | |
United
| Professional | $72.44 | $134.90 | $323.59 |