| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $162.18 | $162.18 | |
Aetna
| Professional | $128.82 | $177.83 | $281.84 | |
BCBS
| Facility | $316.23 | $389.05 | $426.58 | |
BCBS
| Professional | $131.83 | $154.88 | $263.03 | |
Cigna
| Professional | $257.04 | $257.04 | $398.11 | |
United
| Professional | $112.20 | $173.78 | $257.04 |