| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.74 | $94.74 | $94.74 | |
Aetna
| Professional | $184.16 | $193.00 | $701.50 | |
BCBS
| Facility | $157.43 | $157.43 | $188.91 | |
BCBS
| Professional | $118.43 | $147.00 | $303.00 | |
Cigna
| Facility | $189.82 | $189.82 | $189.82 | |
Cigna
| Professional | $153.91 | $153.91 | $219.59 | |
United
| Professional | $39.79 | $52.61 | $125.25 |