| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $202.40 | $370.39 | $410.87 | |
Aetna
| Professional | $159.90 | $370.39 | $410.87 | |
BCBS
| Facility | $224.80 | $224.80 | $224.80 | |
BCBS
| Professional | $224.80 | $224.80 | $224.80 | |
Cigna
| Facility | $131.56 | $138.13 | $169.71 | |
Cigna
| Professional | $86.55 | $156.72 | $340.44 | |
United
| Professional | $85.01 | $121.44 | $303.60 |