| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $173.78 | $173.78 | |
Aetna
| Professional | $120.23 | $162.18 | $288.40 | |
BCBS
| Facility | $295.12 | $295.12 | $354.81 | |
BCBS
| Professional | $218.78 | $269.15 | $549.54 | |
Cigna
| Facility | $346.74 | $346.74 | $346.74 | |
Cigna
| Professional | $107.15 | $120.23 | $416.87 | |
United
| Professional | $104.71 | $147.91 | $346.74 |