| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.86 | $396.02 | $414.65 | |
Aetna
| Professional | $196.39 | $318.58 | $414.65 | |
BCBS
| Facility | $57.57 | $57.57 | $63.33 | |
BCBS
| Professional | $45.18 | $45.18 | $45.18 | |
Cigna
| Facility | $238.11 | $238.11 | $430.88 | |
Cigna
| Professional | $40.57 | $40.57 | $441.65 | |
United
| Professional | $17.02 | $29.32 | $314.64 |