| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.36 | $115.36 | $570.00 | |
Aetna
| Professional | $115.36 | $115.36 | $214.79 | |
BCBS
| Facility | $197.80 | $197.80 | $237.36 | |
BCBS
| Professional | $144.19 | $179.00 | $369.00 | |
Cigna
| Facility | $230.99 | $230.99 | $230.99 | |
Cigna
| Professional | $13.51 | $132.57 | $275.45 | |
United
| Professional | $48.45 | $66.09 | $165.22 |