| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $207.31 | $207.31 | $207.31 | |
Aetna
| Professional | $204.83 | $207.31 | $207.31 | |
BCBS
| Facility | $542.20 | $542.20 | $650.64 | |
BCBS
| Professional | $259.14 | $321.00 | $663.00 | |
Cigna
| Facility | $414.53 | $414.53 | $414.53 | |
Cigna
| Professional | $337.14 | $337.14 | $495.04 | |
United
| Professional | $87.07 | $124.39 | $431.39 |