| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.40 | $201.71 | $350.80 | |
Aetna
| Professional | $136.81 | $201.71 | $201.71 | |
BCBS
| Facility | $158.15 | $191.92 | $258.19 | |
BCBS
| Professional | $110.41 | $134.10 | $158.24 | |
Cigna
| Facility | $111.73 | $142.51 | $550.41 | |
Cigna
| Professional | $72.73 | $78.09 | $184.79 | |
United
| Professional | $73.67 | $73.67 | $105.24 |