| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.73 | $223.73 | $308.95 | |
Aetna
| Professional | $107.28 | $223.73 | $223.73 | |
BCBS
| Facility | $202.42 | $202.42 | $202.42 | |
BCBS
| Professional | $150.93 | $221.95 | $221.95 | |
Cigna
| Facility | $133.88 | $150.03 | $265.44 | |
Cigna
| Professional | $72.98 | $204.02 | $255.03 | |
United
| Professional | $74.58 | $106.54 | $113.64 |