| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $188.57 | $345.08 | $382.80 | |
Aetna
| Professional | $148.97 | $345.08 | $382.80 | |
BCBS
| Facility | $303.89 | $303.89 | $303.89 | |
BCBS
| Professional | $303.89 | $303.89 | $303.89 | |
Cigna
| Facility | $122.57 | $199.28 | $365.87 | |
Cigna
| Professional | $85.42 | $222.09 | $421.61 | |
United
| Professional | $113.14 | $207.43 | $471.43 |