| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.86 | $512.86 | $512.86 | |
Aetna
| Professional | $75.86 | $95.50 | $239.88 | |
BCBS
| Facility | $162.18 | $162.18 | $177.83 | |
BCBS
| Professional | $75.86 | $107.15 | $131.83 | |
Cigna
| Professional | $67.61 | $89.13 | $204.17 | |
United
| Professional | $79.43 | $102.33 | $151.36 |