| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.71 | $206.71 | $206.71 | |
Aetna
| Professional | $125.10 | $144.38 | $206.71 | |
BCBS
| Facility | $114.08 | $126.76 | $180.22 | |
BCBS
| Professional | $122.32 | $143.90 | $143.90 | |
Cigna
| Facility | $518.23 | $518.23 | $518.23 | |
Cigna
| Professional | $145.19 | $175.02 | $345.91 | |
United
| Professional | $130.97 | $166.80 | $254.18 |