| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $303.00 | $303.00 | $303.00 | |
Aetna
| Professional | $33.10 | $37.06 | $43.86 | |
BCBS
| Facility | $145.36 | $373.37 | $435.04 | |
BCBS
| Professional | $0.02 | $57.40 | $63.77 | |
Cigna
| Facility | $186.00 | $186.00 | $186.00 | |
Cigna
| Professional | $69.40 | $95.47 | $185.50 | |
United
| Professional | $20.04 | $66.64 | $119.80 |