| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.27 | $426.27 | $426.27 | |
Aetna
| Professional | $131.16 | $132.46 | $136.40 | |
BCBS
| Facility | $132.04 | $132.04 | $333.63 | |
BCBS
| Professional | $131.16 | $131.16 | $131.16 | |
Cigna
| Facility | $123.73 | $131.16 | $131.16 | |
Cigna
| Professional | $131.16 | $131.16 | $131.16 | |
United
| Professional | $131.16 | $131.16 | $146.01 |