| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $316.23 | $436.52 | |
Aetna
| Professional | $165.96 | $208.93 | $316.23 | |
BCBS
| Facility | $281.84 | $281.84 | $389.05 | |
BCBS
| Professional | $223.87 | $223.87 | $338.84 | |
Cigna
| Facility | $162.18 | $323.59 | $457.09 | |
United
| Facility | $223.87 | $223.87 | $251.19 | |
United
| Professional | $104.71 | $147.91 | $251.19 |