| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $356.43 | $356.43 | $492.21 | |
Aetna
| Professional | $169.73 | $274.39 | $356.43 | |
BCBS
| Facility | $322.48 | $322.48 | $322.48 | |
BCBS
| Professional | $424.32 | $424.32 | $424.32 | |
Cigna
| Facility | $183.87 | $213.29 | $507.48 | |
United
| Facility | $254.59 | $254.59 | $254.59 | |
United
| Professional | $118.81 | $169.73 | $282.88 |