| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.87 | $223.87 | $346.74 | |
Aetna
| Professional | $173.78 | $229.09 | $398.11 | |
BCBS
| Facility | $309.03 | $309.03 | $309.03 | |
BCBS
| Professional | $309.03 | $309.03 | $309.03 | |
Cigna
| Facility | $309.03 | $309.03 | $309.03 | |
Cigna
| Professional | $223.87 | $223.87 | $309.03 | |
United
| Facility | $245.47 | $316.23 | $537.03 | |
United
| Professional | $131.83 | $194.98 | $309.03 |