| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $274.83 | $502.94 | $557.90 | |
Aetna
| Professional | $217.12 | $502.94 | $557.90 | |
BCBS
| Facility | $291.13 | $291.13 | $291.13 | |
BCBS
| Professional | $291.13 | $291.13 | $291.13 | |
Cigna
| Facility | $178.64 | $187.57 | $208.47 | |
Cigna
| Professional | $118.97 | $125.12 | $311.06 | |
United
| Professional | $115.43 | $164.90 | $467.21 |