| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.36 | $235.58 | $450.75 | |
Aetna
| Professional | $101.70 | $235.58 | $261.32 | |
BCBS
| Facility | $197.76 | $197.76 | $197.76 | |
BCBS
| Professional | $197.76 | $197.76 | $197.76 | |
Cigna
| Facility | $83.67 | $97.64 | $261.98 | |
Cigna
| Professional | $58.61 | $136.65 | $322.87 | |
United
| Professional | $54.07 | $82.99 | $248.97 |