| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $233.07 | $426.52 | $473.13 | |
Aetna
| Professional | $184.13 | $426.52 | $473.13 | |
BCBS
| Facility | $233.07 | $233.07 | $233.07 | |
BCBS
| Professional | $233.07 | $233.07 | $233.07 | |
Cigna
| Facility | $151.50 | $176.80 | $437.65 | |
Cigna
| Professional | $102.25 | $224.96 | $409.02 | |
United
| Professional | $97.89 | $139.84 | $419.53 |