| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $238.00 | $238.00 | $238.00 | |
Aetna
| Professional | $235.14 | $238.00 | $238.00 | |
BCBS
| Facility | $203.21 | $203.21 | $243.86 | |
BCBS
| Professional | $297.50 | $369.00 | $762.00 | |
Cigna
| Facility | $475.94 | $475.94 | $475.94 | |
Cigna
| Professional | $387.20 | $387.20 | $511.34 | |
United
| Professional | $67.91 | $99.96 | $176.12 |