| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.68 | $123.68 | $123.68 | |
Aetna
| Professional | $219.24 | $219.24 | $219.24 | |
BCBS
| Facility | $212.08 | $212.08 | $254.49 | |
BCBS
| Professional | $154.60 | $192.00 | $396.00 | |
Cigna
| Facility | $247.04 | $247.04 | $247.04 | |
Cigna
| Professional | $201.32 | $201.32 | $295.63 | |
United
| Professional | $51.95 | $70.87 | $168.73 |