| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.03 | $266.30 | $693.42 | |
Aetna
| Professional | $256.67 | $266.30 | $292.93 | |
BCBS
| Facility | $291.43 | $406.46 | $802.11 | |
BCBS
| Professional | $241.68 | $267.37 | $272.70 | |
Cigna
| Facility | $272.70 | $272.70 | $272.70 | |
Cigna
| Professional | $272.70 | $272.70 | $272.70 | |
United
| Professional | $267.37 | $267.37 | $357.15 |