| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $241.90 | $442.68 | $491.06 | |
Aetna
| Professional | $191.10 | $442.68 | $491.06 | |
BCBS
| Facility | $349.30 | $349.30 | $349.30 | |
BCBS
| Professional | $349.30 | $349.30 | $349.30 | |
Cigna
| Facility | $157.24 | $165.10 | $250.41 | |
Cigna
| Professional | $110.21 | $231.47 | $460.30 | |
United
| Professional | $101.60 | $149.32 | $458.78 |