| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168.75 | $308.81 | $342.56 | |
Aetna
| Professional | $133.31 | $308.81 | $342.56 | |
BCBS
| Facility | $168.75 | $168.75 | $168.75 | |
BCBS
| Professional | $168.75 | $168.75 | $168.75 | |
Cigna
| Facility | $104.13 | $115.17 | $191.18 | |
Cigna
| Professional | $72.29 | $76.80 | $289.16 | |
United
| Professional | $70.88 | $101.25 | $253.13 |