| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.40 | $288.40 | $288.40 | |
Aetna
| Professional | $173.78 | $288.40 | $316.23 | |
BCBS
| Facility | $269.15 | $269.15 | $295.12 | |
BCBS
| Professional | $257.04 | $257.04 | $257.04 | |
Cigna
| Professional | $151.36 | $151.36 | $151.36 | |
United
| Facility | $269.15 | $338.84 | $338.84 | |
United
| Professional | $109.65 | $275.42 | $371.54 |