| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $794.33 | $794.33 | |
Aetna
| Professional | $114.82 | $123.03 | $144.54 | |
BCBS
| Facility | $181.97 | $199.53 | $223.87 | |
BCBS
| Professional | $229.09 | $229.09 | $229.09 | |
Cigna
| Professional | $141.25 | $141.25 | $141.25 | |
United
| Facility | $208.93 | $208.93 | $208.93 | |
United
| Professional | $74.13 | $104.71 | $251.19 |