| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.87 | $223.87 | $223.87 | |
Aetna
| Professional | $134.90 | $223.87 | $245.47 | |
BCBS
| Facility | $208.93 | $208.93 | $229.09 | |
BCBS
| Professional | $199.53 | $199.53 | $199.53 | |
Cigna
| Professional | $120.23 | $120.23 | $120.23 | |
United
| Facility | $204.17 | $263.03 | $263.03 | |
United
| Professional | $85.11 | $213.80 | $288.40 |