| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $512.86 | $512.86 | |
Aetna
| Professional | $75.86 | $79.43 | $93.33 | |
BCBS
| Facility | $208.93 | $251.19 | $295.12 | |
BCBS
| Professional | $54.95 | $64.57 | $85.11 | |
Cigna
| Facility | $316.23 | $316.23 | $316.23 | |
Cigna
| Professional | $67.61 | $131.83 | $165.96 | |
United
| Facility | $138.04 | $138.04 | $138.04 | |
United
| Professional | $47.86 | $69.18 | $165.96 |