| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.56 | $177.56 | $177.56 | |
Aetna
| Professional | $177.56 | $177.56 | $177.56 | |
BCBS
| Facility | $223.50 | $223.50 | $268.20 | |
BCBS
| Professional | $221.95 | $275.00 | $568.00 | |
Cigna
| Facility | $355.21 | $355.21 | $355.21 | |
Cigna
| Professional | $75.31 | $204.02 | $255.03 | |
United
| Professional | $74.58 | $74.58 | $177.56 |