| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.73 | $316.10 | $350.64 | |
Aetna
| Professional | $136.46 | $316.10 | $350.64 | |
BCBS
| Facility | $300.24 | $300.24 | $300.24 | |
BCBS
| Professional | $300.24 | $300.24 | $300.24 | |
Cigna
| Facility | $112.27 | $131.02 | $303.89 | |
Cigna
| Professional | $73.98 | $158.68 | $295.95 | |
United
| Professional | $77.73 | $103.64 | $305.58 |