| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $200.00 | $230.00 | $400.00 | |
Aetna
| Professional | $128.00 | $230.00 | $230.00 | |
BCBS
| Facility | $144.22 | $175.03 | $235.48 | |
BCBS
| Professional | $26.25 | $30.29 | $129.77 | |
Cigna
| Facility | $127.40 | $162.50 | $432.90 | |
United
| Professional | $84.00 | $84.00 | $120.00 |