| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.76 | $275.10 | $305.49 | |
Aetna
| Professional | $118.76 | $275.10 | $305.17 | |
BCBS
| Facility | $154.38 | $154.38 | $154.38 | |
BCBS
| Professional | $154.38 | $154.38 | $154.38 | |
Cigna
| Facility | $97.71 | $97.71 | $102.60 | |
Cigna
| Professional | $65.09 | $120.20 | $226.75 | |
United
| Professional | $63.14 | $90.20 | $256.61 |