| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $190.55 | $295.12 | |
Aetna
| Professional | $144.54 | $181.97 | $295.12 | |
BCBS
| Facility | $263.03 | $263.03 | $263.03 | |
BCBS
| Professional | $263.03 | $263.03 | $263.03 | |
Cigna
| Facility | $218.78 | $218.78 | $218.78 | |
Cigna
| Professional | $162.18 | $162.18 | $218.78 | |
United
| Facility | $208.93 | $269.15 | $436.52 | |
United
| Professional | $104.71 | $162.18 | $245.47 |