| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.70 | $235.52 | $403.72 | |
Aetna
| Professional | $219.81 | $219.82 | $241.80 | |
BCBS
| Facility | $215.51 | $215.51 | $215.51 | |
BCBS
| Professional | $215.51 | $215.51 | $215.51 | |
Cigna
| Facility | $181.45 | $241.37 | $241.37 | |
Cigna
| Professional | $241.37 | $241.37 | $241.37 | |
United
| Professional | $204.73 | $215.51 | $258.61 |