| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.96 | $389.05 | $812.83 | |
Aetna
| Professional | $208.93 | $269.15 | $436.52 | |
BCBS
| Facility | $204.17 | $275.42 | $1,000.00 | |
BCBS
| Professional | $245.47 | $288.40 | $602.56 | |
Cigna
| Facility | $275.42 | $275.42 | $2,041.74 | |
Cigna
| Professional | $204.17 | $204.17 | $724.44 | |
United
| Facility | $165.96 | $281.84 | $602.56 | |
United
| Professional | $169.82 | $239.88 | $501.19 |