| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $309.03 | $346.74 | |
Aetna
| Professional | $125.89 | $138.04 | $309.03 | |
BCBS
| Facility | $169.82 | $169.82 | $169.82 | |
BCBS
| Professional | $169.82 | $169.82 | $169.82 | |
Cigna
| Facility | $104.71 | $114.82 | $190.55 | |
Cigna
| Professional | $72.44 | $131.83 | $288.40 | |
United
| Facility | $114.82 | $151.36 | $169.82 | |
United
| Professional | $64.57 | $85.11 | $288.40 |