| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $344.00 | $344.00 | $344.00 | |
Aetna
| Professional | $344.00 | $344.00 | $344.00 | |
BCBS
| Facility | $199.10 | $341.31 | $724.19 | |
BCBS
| Professional | $1.72 | $1.72 | $5.74 | |
Cigna
| Professional | $165.00 | $165.00 | $165.00 | |
United
| Professional | $68.73 | $68.73 | $84.10 |