| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.00 | $274.50 | $304.50 | |
Aetna
| Professional | $118.50 | $274.50 | $304.50 | |
BCBS
| Facility | $195.00 | $202.50 | $202.50 | |
BCBS
| Professional | $1,367.79 | $1,367.79 | $1,367.79 | |
Cigna
| Facility | $97.50 | $102.38 | $113.78 | |
United
| Professional | $63.00 | $90.00 | $225.00 |