| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.33 | $224.33 | $357.53 | |
Aetna
| Professional | $216.16 | $255.88 | $357.53 | |
BCBS
| Facility | $310.20 | $310.20 | $310.20 | |
BCBS
| Professional | $310.20 | $310.20 | $310.20 | |
Cigna
| Facility | $252.60 | $252.60 | $252.60 | |
Cigna
| Professional | $184.40 | $184.40 | $375.44 | |
United
| Professional | $133.13 | $186.23 | $307.75 |