| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.68 | $255.02 | $352.18 | |
Aetna
| Professional | $115.03 | $196.33 | $255.02 | |
BCBS
| Facility | $230.74 | $230.74 | $230.74 | |
BCBS
| Professional | $172.04 | $253.00 | $253.00 | |
Cigna
| Facility | $131.56 | $160.88 | $354.57 | |
Cigna
| Professional | $92.16 | $179.13 | $304.35 | |
United
| Facility | $182.16 | $182.16 | $191.72 | |
United
| Professional | $85.01 | $114.41 | $190.68 |