| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.45 | $218.45 | $570.96 | |
Aetna
| Professional | $152.13 | $196.00 | $218.45 | |
BCBS
| Facility | $682.75 | $828.55 | $1,114.66 | |
BCBS
| Professional | $168.36 | $207.68 | $438.24 | |
Cigna
| Facility | $265.42 | $265.42 | $486.02 | |
Cigna
| Professional | $151.72 | $214.58 | $491.74 | |
United
| Professional | $128.84 | $163.59 | $239.28 |