| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $654.17 | $654.17 | $654.17 | |
Aetna
| Professional | $161.36 | $178.81 | $178.81 | |
BCBS
| Facility | $218.06 | $256.83 | $279.12 | |
BCBS
| Professional | $163.55 | $163.55 | $266.45 | |
Cigna
| Professional | $122.11 | $250.69 | $313.36 | |
United
| Professional | $76.31 | $130.84 | $314.51 |