| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $239.88 | $380.19 | |
Aetna
| Professional | $194.98 | $239.88 | $380.19 | |
BCBS
| Facility | $331.13 | $331.13 | $331.13 | |
BCBS
| Professional | $331.13 | $331.13 | $331.13 | |
Cigna
| Facility | $251.19 | $251.19 | $251.19 | |
Cigna
| Professional | $186.21 | $186.21 | $251.19 | |
United
| Facility | $138.04 | $346.74 | $549.54 | |
United
| Professional | $134.90 | $204.17 | $302.00 |