| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.17 | $316.89 | $351.54 | |
Aetna
| Professional | $136.80 | $316.89 | $351.54 | |
BCBS
| Facility | $289.60 | $289.60 | $289.60 | |
BCBS
| Professional | $289.60 | $289.60 | $289.60 | |
Cigna
| Facility | $112.56 | $191.96 | $352.44 | |
Cigna
| Professional | $78.89 | $214.06 | $406.47 | |
United
| Professional | $103.90 | $181.47 | $432.93 |