| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.87 | $489.78 | $1,174.90 | |
Aetna
| Professional | $169.82 | $213.80 | $436.52 | |
BCBS
| Facility | $223.87 | $338.84 | $1,148.15 | |
BCBS
| Professional | $104.71 | $169.82 | $446.68 | |
Cigna
| Facility | $169.82 | $489.78 | $1,122.02 | |
Cigna
| Professional | $131.83 | $302.00 | $630.96 | |
United
| Facility | $158.49 | $263.03 | $316.23 | |
United
| Professional | $109.65 | $158.49 | $316.23 |