| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.61 | $193.61 | $308.56 | |
Aetna
| Professional | $193.41 | $264.27 | $308.56 | |
BCBS
| Facility | $267.72 | $267.72 | $267.72 | |
BCBS
| Professional | $267.72 | $267.72 | $267.72 | |
Cigna
| Facility | $215.87 | $215.87 | $215.87 | |
Cigna
| Professional | $157.59 | $157.59 | $215.87 | |
United
| Professional | $114.90 | $164.02 | $265.60 |