| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $281.84 | $1,000.00 | |
Aetna
| Professional | $114.82 | $181.97 | $245.47 | |
BCBS
| Facility | $204.17 | $346.74 | $478.63 | |
BCBS
| Professional | $138.04 | $269.15 | $269.15 | |
Cigna
| Facility | $162.18 | $371.54 | $1,479.11 | |
Cigna
| Professional | $102.33 | $281.84 | $354.81 | |
United
| Facility | $87.10 | $194.98 | $245.47 | |
United
| Professional | $79.43 | $97.72 | $229.09 |