| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $161.88 | $296.24 | $328.62 | |
Aetna
| Professional | $127.89 | $178.07 | $310.81 | |
BCBS
| Facility | $161.88 | $161.88 | $161.88 | |
BCBS
| Professional | $161.88 | $161.88 | $161.88 | |
Cigna
| Facility | $64.51 | $109.96 | $135.72 | |
Cigna
| Professional | $40.36 | $73.67 | $232.31 | |
United
| Professional | $41.22 | $67.98 | $226.44 |