| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.25 | $177.25 | $177.25 | |
Aetna
| Professional | $175.12 | $177.25 | $177.25 | |
BCBS
| Facility | $303.93 | $303.93 | $364.71 | |
BCBS
| Professional | $221.56 | $275.00 | $567.00 | |
Cigna
| Facility | $354.51 | $354.51 | $354.51 | |
Cigna
| Professional | $288.14 | $288.14 | $423.66 | |
United
| Professional | $74.45 | $101.56 | $241.81 |