| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.42 | $275.42 | $380.19 | |
Aetna
| Professional | $128.82 | $173.78 | $275.42 | |
BCBS
| Facility | $245.47 | $245.47 | $338.84 | |
BCBS
| Professional | $194.98 | $323.59 | $323.59 | |
CareSource
| Professional | $141.25 | $141.25 | $218.78 | |
Cigna
| Facility | $141.25 | $281.84 | $407.38 | |
Cigna
| Professional | $251.19 | $251.19 | $316.23 | |
United
| Facility | $194.98 | $194.98 | $263.03 | |
United
| Professional | $91.20 | $131.83 | $309.03 |