| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.81 | $319.89 | $354.86 | |
Aetna
| Professional | $138.10 | $319.89 | $354.86 | |
BCBS
| Facility | $214.94 | $214.94 | $214.94 | |
BCBS
| Professional | $214.94 | $214.94 | $214.94 | |
Cigna
| Facility | $113.63 | $119.31 | $146.58 | |
Cigna
| Professional | $74.76 | $135.54 | $294.39 | |
United
| Professional | $73.42 | $104.89 | $297.18 |