| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.40 | $320.98 | $356.06 | |
Aetna
| Professional | $138.57 | $320.98 | $356.06 | |
BCBS
| Facility | $217.13 | $217.13 | $217.13 | |
BCBS
| Professional | $217.13 | $217.13 | $217.13 | |
Cigna
| Facility | $114.01 | $119.71 | $133.05 | |
Cigna
| Professional | $75.00 | $135.81 | $256.22 | |
United
| Professional | $73.67 | $105.24 | $263.10 |