| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.32 | $192.32 | $192.32 | |
Aetna
| Professional | $190.01 | $192.32 | $192.32 | |
BCBS
| Facility | $200.95 | $200.95 | $241.14 | |
BCBS
| Professional | $240.40 | $298.00 | $615.00 | |
Cigna
| Facility | $384.52 | $384.52 | $384.52 | |
Cigna
| Professional | $312.64 | $312.64 | $413.57 | |
United
| Professional | $75.63 | $80.77 | $201.48 |