| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.90 | $310.92 | $344.90 | |
Aetna
| Professional | $134.22 | $310.92 | $344.90 | |
BCBS
| Facility | $169.90 | $169.90 | $169.90 | |
BCBS
| Professional | $169.90 | $169.90 | $169.90 | |
Cigna
| Facility | $104.84 | $115.96 | $192.48 | |
Cigna
| Professional | $72.75 | $130.94 | $291.01 | |
United
| Professional | $64.52 | $84.95 | $254.85 |