| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $537.03 | $602.56 | |
Aetna
| Professional | $218.78 | $239.88 | $537.03 | |
BCBS
| Facility | $354.81 | $354.81 | $354.81 | |
BCBS
| Professional | $354.81 | $354.81 | $354.81 | |
Cigna
| Facility | $190.55 | $204.17 | $245.47 | |
Cigna
| Professional | $125.89 | $229.09 | $501.19 | |
United
| Facility | $269.15 | $269.15 | $354.81 | |
United
| Professional | $123.03 | $177.83 | $660.69 |