| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.30 | $213.30 | $213.30 | |
Aetna
| Professional | $210.74 | $213.30 | $213.30 | |
BCBS
| Facility | $190.68 | $190.68 | $228.81 | |
BCBS
| Professional | $266.63 | $331.00 | $683.00 | |
Cigna
| Facility | $426.39 | $426.39 | $426.39 | |
Cigna
| Professional | $346.72 | $346.72 | $458.57 | |
United
| Professional | $63.72 | $89.59 | $157.84 |