| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $389.05 | $436.52 | |
Aetna
| Professional | $147.91 | $173.78 | $389.05 | |
BCBS
| Facility | $158.49 | $158.49 | $158.49 | |
BCBS
| Professional | $158.49 | $158.49 | $158.49 | |
Cigna
| Facility | $123.03 | $144.54 | $223.87 | |
Cigna
| Professional | $91.20 | $165.96 | $363.08 | |
United
| Facility | $138.04 | $190.55 | $213.80 | |
United
| Professional | $75.86 | $107.15 | $338.84 |