| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.73 | $172.73 | $172.73 | |
Aetna
| Professional | $170.65 | $172.73 | $172.73 | |
BCBS
| Facility | $256.04 | $256.04 | $307.25 | |
BCBS
| Professional | $215.91 | $268.00 | $553.00 | |
Cigna
| Facility | $345.44 | $345.44 | $345.44 | |
Cigna
| Professional | $281.20 | $281.20 | $371.67 | |
United
| Professional | $72.55 | $85.56 | $203.72 |