| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.96 | $188.55 | $327.92 | |
Aetna
| Professional | $127.89 | $188.55 | $188.55 | |
BCBS
| Facility | $158.15 | $191.92 | $258.19 | |
BCBS
| Professional | $106.39 | $168.68 | $199.04 | |
Cigna
| Facility | $116.05 | $133.21 | $354.88 | |
Cigna
| Professional | $106.58 | $106.58 | $106.58 | |
United
| Professional | $68.86 | $68.86 | $121.45 |