| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $200.00 | $230.00 | $400.00 | |
Aetna
| Professional | $156.00 | $230.00 | $230.00 | |
BCBS
| Facility | $158.15 | $191.92 | $258.19 | |
BCBS
| Professional | $77.31 | $113.61 | $134.06 | |
Cigna
| Facility | $157.30 | $213.71 | $627.44 | |
Cigna
| Professional | $86.64 | $89.07 | $290.33 | |
United
| Professional | $84.00 | $84.00 | $120.00 |