| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.48 | $208.48 | $325.75 | |
Aetna
| Professional | $195.70 | $303.08 | $325.75 | |
BCBS
| Facility | $288.27 | $288.27 | $288.27 | |
BCBS
| Professional | $288.27 | $288.27 | $288.27 | |
Cigna
| Facility | $239.35 | $239.35 | $239.35 | |
Cigna
| Professional | $174.73 | $174.73 | $328.98 | |
United
| Professional | $109.93 | $185.59 | $254.10 |