| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.51 | $302.88 | $335.99 | |
Aetna
| Professional | $130.75 | $302.88 | $335.99 | |
BCBS
| Facility | $165.51 | $165.51 | $165.51 | |
BCBS
| Professional | $165.51 | $165.51 | $165.51 | |
Cigna
| Facility | $107.58 | $125.55 | $247.51 | |
Cigna
| Professional | $70.90 | $129.12 | $283.58 | |
United
| Facility | $148.96 | $148.96 | $165.51 | |
United
| Professional | $69.51 | $99.31 | $282.06 |