| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.87 | $124.87 | $124.87 | |
Aetna
| Professional | $127.99 | $127.99 | $127.99 | |
BCBS
| Facility | $157.18 | $157.18 | $188.61 | |
BCBS
| Professional | $156.09 | $194.00 | $400.00 | |
Cigna
| Facility | $249.83 | $249.83 | $249.83 | |
Cigna
| Professional | $59.37 | $202.92 | $268.47 | |
United
| Professional | $52.45 | $52.45 | $124.87 |