| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.74 | $346.74 | $346.74 | |
Aetna
| Professional | $19.05 | $36.31 | $134.90 | |
BCBS
| Facility | $162.18 | $234.42 | $295.12 | |
BCBS
| Professional | $13.49 | $18.20 | $36.31 | |
Cigna
| Facility | $524.81 | $524.81 | $524.81 | |
Cigna
| Professional | $19.50 | $38.02 | $77.62 | |
United
| Facility | $275.42 | $275.42 | $275.42 | |
United
| Professional | $19.50 | $26.30 | $79.43 |