| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.90 | $169.90 | $169.90 | |
Aetna
| Professional | $99.41 | $101.15 | $101.15 | |
BCBS
| Facility | $162.18 | $162.18 | $194.61 | |
BCBS
| Professional | $212.38 | $263.00 | $544.00 | |
Cigna
| Facility | $339.86 | $339.86 | $339.86 | |
Cigna
| Professional | $276.42 | $276.42 | $365.46 | |
United
| Professional | $54.19 | $71.36 | $129.03 |