| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.17 | $199.17 | $317.43 | |
Aetna
| Professional | $199.17 | $237.77 | $317.43 | |
BCBS
| Facility | $275.42 | $275.42 | $275.42 | |
BCBS
| Professional | $275.42 | $275.42 | $275.42 | |
Cigna
| Facility | $243.89 | $243.89 | $243.89 | |
Cigna
| Professional | $178.04 | $178.04 | $333.35 | |
United
| Professional | $118.21 | $168.73 | $273.23 |