| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $169.82 | $169.82 | |
Aetna
| Professional | $100.00 | $117.49 | $173.78 | |
BCBS
| Facility | $162.18 | $162.18 | $194.98 | |
BCBS
| Professional | $213.80 | $263.03 | $549.54 | |
Cigna
| Facility | $338.84 | $338.84 | $338.84 | |
Cigna
| Professional | $275.42 | $275.42 | $363.08 | |
United
| Facility | $169.82 | $169.82 | $169.82 | |
United
| Professional | $53.70 | $70.79 | $128.82 |