| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $267.58 | $366.86 | $384.12 | |
Aetna
| Professional | $209.81 | $296.39 | $384.12 | |
BCBS
| Facility | $31.15 | $31.15 | $34.27 | |
BCBS
| Professional | $40.94 | $40.94 | $40.94 | |
Cigna
| Facility | $38.00 | $38.00 | $38.00 | |
Cigna
| Professional | $66.81 | $66.81 | $480.00 | |
United
| Professional | $15.45 | $19.30 | $29.43 |