| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.64 | $228.09 | $253.02 | |
Aetna
| Professional | $98.47 | $228.09 | $253.02 | |
BCBS
| Facility | $153.72 | $153.72 | $153.72 | |
BCBS
| Professional | $153.72 | $153.72 | $153.72 | |
Cigna
| Professional | $35.72 | $104.78 | $213.16 | |
United
| Professional | $34.04 | $56.09 | $186.96 |