| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.07 | $223.07 | $348.55 | |
Aetna
| Professional | $223.07 | $348.55 | $396.44 | |
BCBS
| Facility | $308.45 | $308.45 | $308.45 | |
BCBS
| Professional | $308.45 | $308.45 | $308.45 | |
Cigna
| Facility | $306.16 | $306.16 | $306.16 | |
Cigna
| Professional | $223.50 | $223.50 | $306.16 | |
United
| Professional | $132.38 | $198.59 | $314.10 |