| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $197.99 | $197.99 | $197.99 | |
Aetna
| Professional | $195.61 | $197.99 | $197.99 | |
BCBS
| Facility | $339.49 | $339.49 | $407.39 | |
BCBS
| Professional | $247.49 | $307.00 | $634.00 | |
Cigna
| Facility | $395.69 | $395.69 | $395.69 | |
Cigna
| Professional | $322.22 | $322.22 | $473.32 | |
United
| Professional | $83.16 | $113.45 | $270.11 |