| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.30 | $118.30 | $118.30 | |
Aetna
| Professional | $84.50 | $118.30 | $172.22 | |
BCBS
| Facility | $452.26 | $571.40 | $682.08 | |
BCBS
| Professional | $114.57 | $134.79 | $134.79 | |
Cigna
| Facility | $1,205.91 | $1,205.91 | $1,205.91 | |
Cigna
| Professional | $174.25 | $190.65 | $276.67 | |
United
| Professional | $102.43 | $242.93 | $404.96 |