| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.13 | $457.09 | $1,288.25 | |
Aetna
| Professional | $75.86 | $102.33 | $245.47 | |
BCBS
| Facility | $218.78 | $218.78 | $263.03 | |
BCBS
| Professional | $177.83 | $218.78 | $457.09 | |
Cigna
| Facility | $288.40 | $288.40 | $288.40 | |
Cigna
| Professional | $79.43 | $89.13 | $309.03 | |
United
| Facility | $141.25 | $141.25 | $141.25 | |
United
| Professional | $60.26 | $74.13 | $177.83 |