| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.22 | $122.22 | $122.22 | |
Aetna
| Professional | $120.76 | $122.22 | $122.22 | |
BCBS
| Facility | $209.58 | $209.58 | $251.49 | |
BCBS
| Professional | $152.78 | $189.00 | $391.00 | |
Cigna
| Facility | $244.25 | $244.25 | $244.25 | |
Cigna
| Professional | $198.66 | $198.66 | $291.75 | |
United
| Professional | $51.33 | $70.03 | $166.74 |