| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.11 | $364.50 | $364.50 | |
Aetna
| Professional | $79.28 | $115.86 | $135.72 | |
BCBS
| Facility | $165.51 | $194.94 | $246.68 | |
BCBS
| Professional | $124.13 | $124.13 | $182.47 | |
Cigna
| Facility | $290.32 | $290.32 | $510.37 | |
Cigna
| Professional | $93.51 | $219.82 | $448.27 | |
United
| Facility | $198.61 | $198.61 | $198.61 | |
United
| Professional | $69.51 | $99.55 | $240.63 |