| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.53 | $199.53 | $316.23 | |
Aetna
| Professional | $158.49 | $190.55 | $316.23 | |
BCBS
| Facility | $275.42 | $275.42 | $275.42 | |
BCBS
| Professional | $275.42 | $275.42 | $275.42 | |
Cigna
| Facility | $199.53 | $199.53 | $199.53 | |
Cigna
| Professional | $144.54 | $144.54 | $199.53 | |
United
| Facility | $107.15 | $288.40 | $426.58 | |
United
| Professional | $104.71 | $169.82 | $245.47 |