| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.09 | $181.09 | $288.61 | |
Aetna
| Professional | $181.09 | $230.18 | $291.44 | |
BCBS
| Facility | $302.33 | $302.33 | $302.33 | |
BCBS
| Professional | $302.33 | $302.33 | $302.33 | |
Cigna
| Facility | $278.10 | $278.10 | $278.10 | |
Cigna
| Professional | $203.01 | $203.01 | $278.10 | |
United
| Professional | $124.16 | $206.76 | $331.86 |