| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.75 | $165.75 | $2,210.04 | |
Aetna
| Professional | $138.21 | $217.11 | $4,825.60 | |
BCBS
| Facility | $458.88 | $458.88 | $458.88 | |
BCBS
| Professional | $293.10 | $387.93 | $387.93 | |
Cigna
| Professional | $159.69 | $304.02 | $377.72 | |
United
| Professional | $130.75 | $228.09 | $319.47 |