| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.04 | $257.04 | $288.40 | |
Aetna
| Professional | $109.65 | $138.04 | $257.04 | |
BCBS
| Facility | $186.21 | $186.21 | $257.04 | |
BCBS
| Professional | $162.18 | $162.18 | $245.47 | |
Cigna
| Facility | $107.15 | $245.47 | $338.84 | |
United
| Facility | $147.91 | $147.91 | $162.18 | |
United
| Professional | $69.18 | $102.33 | $223.87 |