| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $161.88 | $161.88 | $161.88 | |
Aetna
| Professional | $161.88 | $161.88 | $161.88 | |
BCBS
| Facility | $119.09 | $119.09 | $142.91 | |
BCBS
| Professional | $202.35 | $251.00 | $518.00 | |
Cigna
| Facility | $323.81 | $323.81 | $323.81 | |
Cigna
| Professional | $39.47 | $185.85 | $232.31 | |
United
| Professional | $41.58 | $67.98 | $119.79 |