| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $249.59 | $249.59 | $254.20 | |
Aetna
| Professional | $171.27 | $207.66 | $256.88 | |
BCBS
| Facility | $425.21 | $516.01 | $694.20 | |
BCBS
| Professional | $148.60 | $223.92 | $260.95 | |
Cigna
| Professional | $187.48 | $224.75 | $326.47 | |
United
| Professional | $152.59 | $207.41 | $314.08 |