| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.00 | $169.00 | $233.39 | |
Aetna
| Professional | $80.48 | $159.61 | $169.00 | |
BCBS
| Facility | $152.91 | $152.91 | $152.91 | |
BCBS
| Professional | $120.72 | $160.96 | $181.08 | |
Cigna
| Facility | $87.18 | $101.13 | $200.51 | |
United
| Professional | $56.33 | $80.48 | $134.13 |