| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $214.12 | $214.15 | $267.69 | |
Aetna
| Professional | $162.40 | $205.71 | $259.82 | |
BCBS
| Facility | $315.74 | $315.74 | $315.74 | |
BCBS
| Professional | $169.73 | $224.64 | $224.64 | |
Cigna
| Facility | $252.36 | $252.36 | $346.94 | |
Cigna
| Professional | $143.50 | $215.00 | $298.82 | |
United
| Professional | $133.99 | $178.87 | $252.19 |