| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $352.53 | $352.53 | $4,914.09 | |
Aetna
| Professional | $108.46 | $108.47 | $112.81 | |
BCBS
| Facility | $109.28 | $109.28 | $163.28 | |
BCBS
| Professional | $108.47 | $108.47 | $108.47 | |
Cigna
| Facility | $108.47 | $108.47 | $108.47 | |
Cigna
| Professional | $108.47 | $108.47 | $153.49 | |
United
| Professional | $108.47 | $108.47 | $120.75 |