| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.72 | $332.58 | $470.40 | |
Aetna
| Professional | $184.87 | $221.72 | $286.75 | |
BCBS
| Facility | $458.88 | $458.88 | $458.88 | |
BCBS
| Professional | $293.10 | $387.93 | $387.93 | |
Cigna
| Professional | $189.23 | $349.20 | $433.86 | |
Qualchoice
| Professional | $660.18 | $660.18 | $660.18 | |
United
| Professional | $174.90 | $273.38 | $412.92 |