| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $365.46 | $365.46 | $365.46 | |
Aetna
| Professional | $112.45 | $113.57 | $116.95 | |
BCBS
| Facility | $114.48 | $114.48 | $367.84 | |
BCBS
| Professional | $112.45 | $112.45 | $112.45 | |
Cigna
| Facility | $106.09 | $112.45 | $112.45 | |
Cigna
| Professional | $112.45 | $112.45 | $112.45 | |
United
| Professional | $112.45 | $112.45 | $112.45 |