| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.95 | $201.95 | $321.86 | |
Aetna
| Professional | $201.95 | $253.67 | $325.02 | |
BCBS
| Facility | $335.67 | $335.67 | $335.67 | |
BCBS
| Professional | $335.67 | $335.67 | $335.67 | |
Cigna
| Facility | $312.30 | $312.30 | $312.30 | |
Cigna
| Professional | $227.98 | $227.98 | $312.30 | |
United
| Professional | $139.99 | $230.99 | $362.39 |