| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.00 | $250.71 | $278.11 | |
Aetna
| Professional | $108.23 | $250.71 | $278.11 | |
BCBS
| Facility | $169.00 | $169.00 | $169.00 | |
BCBS
| Professional | $169.00 | $169.00 | $169.00 | |
Cigna
| Facility | $89.05 | $93.50 | $103.92 | |
Cigna
| Professional | $58.52 | $105.97 | $199.92 | |
United
| Professional | $57.54 | $82.20 | $232.90 |