| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.13 | $177.14 | $446.30 | |
Aetna
| Professional | $126.63 | $172.05 | $225.54 | |
BCBS
| Facility | $235.60 | $235.60 | $306.27 | |
BCBS
| Professional | $259.41 | $305.19 | $305.19 | |
CareSource
| Facility | $215.07 | $229.36 | $236.58 | |
Cigna
| Facility | $60.00 | $75.00 | $90.00 | |
Cigna
| Professional | $173.38 | $278.49 | $353.39 | |
United
| Professional | $168.72 | $227.10 | $361.30 |