| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $266.92 | $266.92 | $425.41 | |
Aetna
| Professional | $266.92 | $304.45 | $425.41 | |
BCBS
| Facility | $369.10 | $369.10 | $369.10 | |
BCBS
| Professional | $369.10 | $369.10 | $369.10 | |
Cigna
| Facility | $297.62 | $297.62 | $297.62 | |
Cigna
| Professional | $217.26 | $217.26 | $297.62 | |
United
| Professional | $158.41 | $226.12 | $366.17 |