| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $479.04 | $479.04 | $479.04 | |
Aetna
| Professional | $36.50 | $43.70 | $66.01 | |
BCBS
| Facility | $213.59 | $288.50 | $341.56 | |
BCBS
| Professional | $98.68 | $98.68 | $136.62 | |
Cigna
| Facility | $70.80 | $74.27 | $87.38 | |
Cigna
| Professional | $51.68 | $51.68 | $51.68 | |
United
| Professional | $51.33 | $75.37 | $125.62 |