| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.33 | $275.10 | $305.17 | |
Aetna
| Professional | $118.76 | $275.10 | $305.17 | |
BCBS
| Facility | $188.81 | $188.81 | $188.81 | |
BCBS
| Professional | $188.81 | $188.81 | $188.81 | |
Cigna
| Facility | $97.71 | $114.03 | $245.27 | |
Cigna
| Professional | $64.41 | $68.45 | $257.64 | |
United
| Professional | $63.14 | $90.20 | $225.50 |