| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.90 | $195.39 | $339.80 | |
Aetna
| Professional | $132.52 | $195.39 | $195.39 | |
BCBS
| Facility | $158.15 | $191.92 | $258.19 | |
BCBS
| Professional | $65.69 | $96.53 | $113.91 | |
Cigna
| Facility | $81.50 | $138.05 | $532.96 | |
Cigna
| Professional | $57.02 | $80.40 | $527.88 | |
United
| Professional | $70.97 | $71.36 | $129.03 |