| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.22 | $223.66 | $248.11 | |
Aetna
| Professional | $96.55 | $223.66 | $248.11 | |
BCBS
| Facility | $188.74 | $188.74 | $188.74 | |
BCBS
| Professional | $188.74 | $188.74 | $188.74 | |
Cigna
| Facility | $79.44 | $83.41 | $126.52 | |
Cigna
| Professional | $55.62 | $116.85 | $232.31 | |
United
| Professional | $51.33 | $75.45 | $226.34 |