| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $981.89 | $981.89 | $981.89 | |
Aetna
| Professional | $62.45 | $85.34 | $123.82 | |
BCBS
| Facility | $159.74 | $297.36 | $989.52 | |
BCBS
| Professional | $89.05 | $115.24 | $159.50 | |
Cigna
| Professional | $49.39 | $125.93 | $253.10 | |
United
| Professional | $86.30 | $109.61 | $153.41 |