| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.49 | $354.20 | $354.20 | |
Aetna
| Professional | $66.48 | $112.59 | $252.56 | |
BCBS
| Facility | $160.84 | $362.76 | $378.84 | |
BCBS
| Professional | $231.00 | $231.00 | $264.68 | |
Cigna
| Facility | $282.10 | $282.10 | $817.48 | |
Cigna
| Professional | $90.87 | $408.50 | $834.18 | |
United
| Professional | $80.62 | $161.24 | $308.00 |