| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.80 | $201.80 | $315.32 | |
Aetna
| Professional | $189.43 | $293.38 | $315.32 | |
BCBS
| Facility | $279.05 | $279.05 | $279.05 | |
BCBS
| Professional | $279.05 | $279.05 | $279.05 | |
Cigna
| Facility | $231.66 | $231.66 | $231.66 | |
Cigna
| Professional | $169.11 | $169.11 | $231.66 | |
United
| Professional | $106.40 | $179.65 | $245.94 |