| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $316.23 | $346.74 | |
Aetna
| Professional | $128.82 | $141.25 | $346.74 | |
BCBS
| Facility | $302.00 | $302.00 | $302.00 | |
BCBS
| Professional | $302.00 | $302.00 | $302.00 | |
Cigna
| Facility | $112.20 | $131.83 | $302.00 | |
Cigna
| Professional | $74.13 | $158.49 | $295.12 | |
United
| Facility | $154.88 | $173.78 | $208.93 | |
United
| Professional | $72.44 | $104.71 | $457.09 |