| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.81 | $524.81 | $524.81 | |
Aetna
| Professional | $52.48 | $64.57 | $123.03 | |
BCBS
| Facility | $162.18 | $162.18 | $177.83 | |
BCBS
| Professional | $52.48 | $72.44 | $89.13 | |
Cigna
| Professional | $46.77 | $60.26 | $138.04 | |
United
| Professional | $53.70 | $70.79 | $102.33 |