| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $231.71 | $231.71 | $369.28 | |
Aetna
| Professional | $231.71 | $264.29 | $369.28 | |
BCBS
| Facility | $320.39 | $320.39 | $320.39 | |
BCBS
| Professional | $320.39 | $320.39 | $320.39 | |
Cigna
| Facility | $273.20 | $273.20 | $273.20 | |
Cigna
| Professional | $199.44 | $199.44 | $273.20 | |
United
| Professional | $137.52 | $196.29 | $317.86 |