| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $104.71 | $6,760.83 | |
Aetna
| Professional | $104.71 | $104.71 | $213.80 | |
BCBS
| Facility | $316.23 | $575.44 | $691.83 | |
BCBS
| Professional | $0.02 | $0.02 | $0.03 | |
Cigna
| Facility | $64.57 | $162.18 | $398.11 | |
United
| Facility | $128.82 | $257.04 | $645.65 | |
United
| Professional | $162.18 | $173.78 | $251.19 |