| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.81 | $174.81 | $174.81 | |
Aetna
| Professional | $172.72 | $174.81 | $174.81 | |
BCBS
| Facility | $220.04 | $220.04 | $264.05 | |
BCBS
| Professional | $218.51 | $271.00 | $559.00 | |
Cigna
| Facility | $349.63 | $349.63 | $349.63 | |
Cigna
| Professional | $284.41 | $284.41 | $375.55 | |
United
| Professional | $73.42 | $73.53 | $175.08 |