| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.08 | $108.08 | $108.08 | |
Aetna
| Professional | $54.74 | $108.08 | $108.08 | |
BCBS
| Facility | $403.21 | $489.32 | $658.29 | |
BCBS
| Professional | $87.07 | $119.28 | $140.75 | |
Cigna
| Professional | $58.82 | $81.11 | $314.75 | |
United
| Facility | $241.00 | $850.00 | $1,349.00 | |
United
| Professional | $44.97 | $64.88 | $94.43 |