| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168.75 | $194.06 | $337.50 | |
Aetna
| Professional | $131.63 | $194.06 | $194.06 | |
BCBS
| Facility | $158.15 | $191.92 | $258.19 | |
BCBS
| Professional | $61.64 | $90.56 | $106.86 | |
Cigna
| Facility | $80.95 | $137.11 | $528.85 | |
Cigna
| Professional | $36.10 | $74.48 | $177.96 | |
United
| Professional | $70.88 | $70.88 | $101.25 |