| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $664.98 | $664.98 | $664.98 | |
Aetna
| Professional | $204.61 | $206.65 | $212.80 | |
BCBS
| Facility | $200.06 | $205.28 | $216.90 | |
BCBS
| Professional | $204.61 | $204.61 | $204.61 | |
Cigna
| Facility | $193.03 | $204.61 | $287.77 | |
Cigna
| Professional | $204.61 | $204.61 | $204.61 | |
United
| Professional | $81.84 | $204.61 | $204.61 |