| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $244.52 | $244.52 | $382.07 | |
Aetna
| Professional | $220.63 | $323.45 | $382.07 | |
BCBS
| Facility | $338.13 | $338.13 | $338.13 | |
BCBS
| Professional | $338.13 | $338.13 | $338.13 | |
Cigna
| Facility | $273.14 | $273.14 | $273.14 | |
Cigna
| Professional | $199.40 | $199.40 | $273.14 | |
United
| Professional | $129.77 | $217.68 | $304.08 |