| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $181.97 | $288.40 | |
Aetna
| Professional | $138.04 | $181.97 | $288.40 | |
BCBS
| Facility | $302.00 | $302.00 | $302.00 | |
BCBS
| Professional | $263.03 | $263.03 | $263.03 | |
Cigna
| Facility | $275.42 | $275.42 | $275.42 | |
Cigna
| Professional | $204.17 | $204.17 | $275.42 | |
United
| Facility | $131.83 | $275.42 | $416.87 | |
United
| Professional | $123.03 | $199.53 | $316.23 |