| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $415.18 | $415.18 | $573.35 | |
Aetna
| Professional | $199.09 | $319.62 | $415.18 | |
BCBS
| Facility | $375.64 | $375.64 | $375.64 | |
BCBS
| Professional | $280.08 | $411.89 | $411.89 | |
Cigna
| Facility | $248.45 | $278.43 | $492.61 | |
Cigna
| Professional | $135.38 | $285.19 | $491.69 | |
United
| Professional | $138.38 | $197.71 | $330.01 |