| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.00 | $240.00 | $1,379.00 | |
Aetna
| Professional | $176.88 | $240.00 | $340.79 | |
BCBS
| Facility | $138.04 | $138.04 | $138.04 | |
BCBS
| Professional | $159.13 | $210.61 | $210.61 | |
Cigna
| Facility | $242.61 | $242.61 | $242.61 | |
Cigna
| Professional | $113.73 | $146.27 | $146.27 | |
United
| Professional | $151.68 | $215.52 | $335.63 |