| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.06 | $218.06 | $262.00 | |
Aetna
| Professional | $215.45 | $218.06 | $218.06 | |
BCBS
| Facility | $365.96 | $365.96 | $439.16 | |
BCBS
| Professional | $272.58 | $338.00 | $698.00 | |
Cigna
| Facility | $436.16 | $436.16 | $436.16 | |
Cigna
| Professional | $146.63 | $354.71 | $509.78 | |
United
| Professional | $91.59 | $123.22 | $293.37 |