| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.50 | $201.50 | $201.50 | |
Aetna
| Professional | $199.08 | $201.50 | $201.50 | |
BCBS
| Facility | $345.50 | $345.50 | $414.60 | |
BCBS
| Professional | $251.88 | $312.00 | $645.00 | |
Cigna
| Facility | $402.67 | $402.67 | $402.67 | |
Cigna
| Professional | $327.55 | $327.55 | $481.07 | |
United
| Professional | $84.63 | $115.46 | $274.89 |