| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.92 | $208.92 | $208.92 | |
Aetna
| Professional | $206.41 | $208.92 | $208.92 | |
BCBS
| Facility | $358.23 | $358.23 | $429.87 | |
BCBS
| Professional | $261.14 | $324.00 | $669.00 | |
Cigna
| Facility | $418.02 | $418.02 | $418.02 | |
Cigna
| Professional | $339.80 | $339.80 | $498.92 | |
United
| Professional | $87.75 | $119.71 | $285.02 |