| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $420.06 | $420.06 | $420.06 | |
Aetna
| Professional | $213.34 | $420.06 | $420.06 | |
BCBS
| Facility | $136.74 | $165.94 | $223.24 | |
BCBS
| Professional | $371.93 | $371.93 | $371.93 | |
Cigna
| Facility | $321.50 | $321.50 | $497.03 | |
Cigna
| Professional | $234.70 | $234.70 | $576.38 | |
United
| Professional | $147.68 | $249.30 | $343.20 |