| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $483.81 | $483.81 | $483.81 | |
Aetna
| Professional | $71.14 | $96.78 | $110.78 | |
BCBS
| Facility | $71.23 | $82.22 | $151.76 | |
BCBS
| Professional | $87.56 | $121.19 | $121.19 | |
Cigna
| Facility | $136.77 | $182.43 | $182.43 | |
Cigna
| Professional | $82.23 | $108.75 | $177.82 | |
United
| Professional | $68.87 | $96.93 | $134.62 |