| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $309.03 | $398.11 | |
Aetna
| Professional | $100.00 | $323.59 | $660.69 | |
BCBS
| Facility | $199.53 | $199.53 | $223.87 | |
BCBS
| Professional | $97.72 | $131.83 | $218.78 | |
Cigna
| Facility | $275.42 | $275.42 | $275.42 | |
Cigna
| Professional | $69.18 | $208.93 | $281.84 | |
United
| Professional | $63.10 | $154.88 | $295.12 |