| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.11 | $263.11 | $267.20 | |
Aetna
| Professional | $186.04 | $210.75 | $267.20 | |
BCBS
| Facility | $397.87 | $502.88 | $685.50 | |
BCBS
| Professional | $188.33 | $221.56 | $378.66 | |
Cigna
| Professional | $210.08 | $255.97 | $451.50 | |
United
| Professional | $211.56 | $253.95 | $356.30 |