| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $554.05 | $554.05 | $554.05 | |
Aetna
| Professional | $170.48 | $170.48 | $177.30 | |
BCBS
| Facility | $167.06 | $167.06 | $484.90 | |
BCBS
| Professional | $170.48 | $170.48 | $170.48 | |
Cigna
| Facility | $160.83 | $170.48 | $170.48 | |
Cigna
| Professional | $170.48 | $170.48 | $170.48 | |
United
| Professional | $170.48 | $170.48 | $170.48 |