| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $222.87 | $222.87 | $347.89 | |
Aetna
| Professional | $149.16 | $215.08 | $251.43 | |
BCBS
| Facility | $171.41 | $171.41 | $171.41 | |
BCBS
| Professional | $190.79 | $238.49 | $280.58 | |
Cigna
| Professional | $143.27 | $228.92 | $289.38 | |
United
| Facility | $130.00 | $337.00 | $768.00 | |
United
| Professional | $174.08 | $217.62 | $312.56 |