| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.66 | $317.80 | $352.53 | |
Aetna
| Professional | $137.19 | $317.80 | $352.53 | |
BCBS
| Facility | $280.88 | $280.88 | $280.88 | |
BCBS
| Professional | $280.88 | $280.88 | $280.88 | |
Cigna
| Facility | $112.88 | $184.36 | $338.49 | |
Cigna
| Professional | $79.04 | $205.62 | $390.11 | |
United
| Professional | $104.20 | $174.29 | $434.15 |