| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $233.40 | $233.40 | $364.68 | |
Aetna
| Professional | $219.08 | $339.33 | $364.68 | |
BCBS
| Facility | $322.72 | $322.72 | $322.72 | |
BCBS
| Professional | $322.72 | $322.72 | $322.72 | |
Cigna
| Facility | $267.94 | $267.94 | $267.94 | |
Cigna
| Professional | $195.60 | $195.60 | $267.94 | |
United
| Professional | $123.07 | $207.77 | $284.45 |