| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.45 | $398.35 | $710.00 | |
Aetna
| Professional | $142.62 | $142.63 | $142.63 | |
BCBS
| Facility | $142.63 | $142.63 | $142.63 | |
BCBS
| Professional | $142.63 | $142.63 | $142.63 | |
Cigna
| Facility | $554.01 | $554.01 | $554.01 | |
Cigna
| Professional | $78.03 | $208.80 | $424.89 | |
United
| Professional | $98.95 | $129.50 | $239.59 |