| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $291.79 | $291.79 | $291.79 | |
Aetna
| Professional | $175.07 | $291.79 | $291.79 | |
BCBS
| Facility | $271.14 | $271.14 | $298.26 | |
BCBS
| Professional | $258.24 | $258.24 | $258.24 | |
Cigna
| Professional | $153.00 | $153.00 | $153.00 | |
United
| Professional | $110.83 | $277.08 | $373.16 |