| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $275.42 | $302.00 | |
Aetna
| Professional | $112.20 | $120.23 | $275.42 | |
BCBS
| Facility | $194.98 | $204.17 | $204.17 | |
BCBS
| Professional | $1,380.38 | $1,380.38 | $1,380.38 | |
Cigna
| Facility | $97.72 | $102.33 | $114.82 | |
United
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $63.10 | $89.13 | $331.13 |