| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.98 | $194.98 | $309.03 | |
Aetna
| Professional | $154.88 | $181.97 | $309.03 | |
BCBS
| Facility | $269.15 | $269.15 | $269.15 | |
BCBS
| Professional | $269.15 | $269.15 | $269.15 | |
Cigna
| Facility | $190.55 | $190.55 | $190.55 | |
Cigna
| Professional | $141.25 | $141.25 | $190.55 | |
United
| Facility | $104.71 | $275.42 | $416.87 | |
United
| Professional | $102.33 | $165.96 | $251.19 |