| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $212.17 | $212.17 | $338.14 | |
Aetna
| Professional | $199.16 | $248.80 | $338.14 | |
BCBS
| Facility | $293.38 | $293.38 | $293.38 | |
BCBS
| Professional | $293.38 | $293.38 | $293.38 | |
Cigna
| Facility | $236.57 | $236.57 | $236.57 | |
Cigna
| Professional | $172.70 | $172.70 | $236.57 | |
United
| Professional | $125.92 | $179.74 | $298.76 |