| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $296.39 | $339.87 | $351.73 | |
Aetna
| Professional | $143.10 | $296.39 | $351.73 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
BCBS
| Professional | $19.72 | $44.35 | $44.35 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $66.81 | $66.81 | $558.75 | |
United
| Professional | $14.84 | $20.14 | $32.83 |