| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.66 | $173.66 | $173.66 | |
Aetna
| Professional | $173.66 | $173.66 | $309.69 | |
BCBS
| Facility | $285.20 | $285.20 | $342.24 | |
BCBS
| Professional | $217.08 | $269.00 | $556.00 | |
Cigna
| Facility | $347.54 | $347.54 | $347.54 | |
Cigna
| Professional | $114.32 | $282.27 | $397.27 | |
United
| Professional | $104.20 | $140.43 | $347.32 |