| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.06 | $399.05 | $442.66 | |
Aetna
| Professional | $172.27 | $239.87 | $418.68 | |
BCBS
| Facility | $218.06 | $218.06 | $218.06 | |
BCBS
| Professional | $218.06 | $218.06 | $218.06 | |
Cigna
| Facility | $141.74 | $141.74 | $148.83 | |
Cigna
| Professional | $99.32 | $250.69 | $313.36 | |
United
| Facility | $109.03 | $109.03 | $218.06 | |
United
| Professional | $91.59 | $109.03 | $327.08 |