| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.51 | $165.51 | $165.51 | |
Aetna
| Professional | $163.53 | $165.51 | $165.51 | |
BCBS
| Facility | $208.55 | $208.55 | $250.26 | |
BCBS
| Professional | $206.89 | $257.00 | $530.00 | |
Cigna
| Facility | $330.79 | $330.79 | $330.79 | |
Cigna
| Professional | $268.95 | $268.95 | $356.15 | |
United
| Professional | $69.51 | $69.69 | $165.92 |