| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.43 | $127.43 | $127.43 | |
Aetna
| Professional | $125.91 | $127.43 | $127.43 | |
BCBS
| Facility | $190.95 | $190.95 | $229.14 | |
BCBS
| Professional | $159.29 | $198.00 | $408.00 | |
Cigna
| Facility | $254.72 | $254.72 | $254.72 | |
Cigna
| Professional | $207.18 | $207.18 | $273.89 | |
United
| Professional | $53.52 | $63.81 | $151.93 |