| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.96 | $190.96 | $304.33 | |
Aetna
| Professional | $182.54 | $223.91 | $304.33 | |
BCBS
| Facility | $264.04 | $264.04 | $264.04 | |
BCBS
| Professional | $264.04 | $264.04 | $264.04 | |
Cigna
| Facility | $189.91 | $189.91 | $189.91 | |
Cigna
| Professional | $138.63 | $138.63 | $189.91 | |
United
| Professional | $101.08 | $161.76 | $269.14 |