| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.87 | $103.87 | $103.87 | |
Aetna
| Professional | $52.44 | $103.87 | $103.87 | |
BCBS
| Facility | $403.21 | $489.32 | $658.29 | |
BCBS
| Professional | $82.42 | $112.90 | $133.22 | |
Cigna
| Professional | $55.76 | $79.84 | $303.32 | |
United
| Facility | $241.00 | $850.00 | $1,349.00 | |
United
| Professional | $44.00 | $57.26 | $88.60 |