| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $169.82 | $263.03 | |
Aetna
| Professional | $63.10 | $128.82 | $467.74 | |
BCBS
| Facility | $131.83 | $165.96 | $194.98 | |
BCBS
| Professional | $69.18 | $91.20 | $165.96 | |
Cigna
| Facility | $141.25 | $141.25 | $141.25 | |
Cigna
| Professional | $70.79 | $107.15 | $165.96 | |
United
| Professional | $70.79 | $89.13 | $144.54 |