| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.41 | $193.41 | $267.08 | |
Aetna
| Professional | $121.27 | $193.41 | $193.41 | |
BCBS
| Facility | $174.99 | $174.99 | $174.99 | |
BCBS
| Professional | $156.57 | $230.25 | $230.25 | |
Cigna
| Facility | $59.84 | $99.78 | $229.49 | |
Cigna
| Professional | $176.76 | $181.81 | $220.96 | |
United
| Professional | $64.47 | $92.10 | $153.50 |