| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.93 | $208.93 | $346.74 | |
Aetna
| Professional | $100.00 | $131.83 | $208.93 | |
BCBS
| Facility | $223.87 | $223.87 | $309.03 | |
BCBS
| Professional | $177.83 | $177.83 | $269.15 | |
Cigna
| Facility | $128.82 | $223.87 | $371.54 | |
United
| Facility | $177.83 | $177.83 | $199.53 | |
United
| Professional | $63.10 | $89.13 | $151.36 |