| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $512.86 | $512.86 | |
Aetna
| Professional | $74.13 | $75.86 | $83.18 | |
BCBS
| Facility | $186.21 | $208.93 | $295.12 | |
BCBS
| Professional | $58.88 | $72.44 | $85.11 | |
Cigna
| Facility | $281.84 | $281.84 | $281.84 | |
Cigna
| Professional | $60.26 | $60.26 | $60.26 | |
United
| Facility | $109.65 | $109.65 | $109.65 | |
United
| Professional | $47.86 | $61.66 | $162.18 |