| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $264.17 | $264.17 | $264.17 | |
Aetna
| Professional | $125.05 | $264.17 | $264.17 | |
BCBS
| Professional | $218.01 | $218.01 | $218.01 | |
Cigna
| Facility | $181.86 | $181.86 | $322.04 | |
Cigna
| Professional | $132.76 | $181.86 | $286.04 | |
United
| Facility | $98.42 | $143.90 | $172.71 | |
United
| Professional | $96.80 | $143.90 | $218.72 |