| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.22 | $77.22 | $77.22 | |
Aetna
| Professional | $77.22 | $89.79 | $846.27 | |
BCBS
| Facility | $1,638.24 | $1,638.24 | $1,965.89 | |
BCBS
| Professional | $129.01 | $189.72 | $274.20 | |
Cigna
| Professional | $240.31 | $630.72 | $630.72 | |
United
| Professional | $67.22 | $184.37 | $417.34 |