| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $197.99 | $362.32 | $401.92 | |
Aetna
| Professional | $156.41 | $362.32 | $401.92 | |
BCBS
| Facility | $197.99 | $197.99 | $197.99 | |
BCBS
| Professional | $197.99 | $197.99 | $197.99 | |
Cigna
| Facility | $128.69 | $150.18 | $402.94 | |
Cigna
| Professional | $90.22 | $207.29 | $376.89 | |
United
| Professional | $83.16 | $135.06 | $386.26 |