| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.25 | $193.25 | $193.25 | |
Aetna
| Professional | $190.93 | $193.25 | $193.25 | |
BCBS
| Facility | $248.21 | $248.21 | $297.86 | |
BCBS
| Professional | $241.56 | $300.00 | $618.00 | |
Cigna
| Facility | $386.62 | $386.62 | $386.62 | |
Cigna
| Professional | $93.73 | $314.23 | $415.12 | |
United
| Professional | $81.17 | $82.82 | $143.01 |