| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.63 | $149.76 | $460.13 | |
Aetna
| Professional | $142.62 | $142.63 | $142.63 | |
BCBS
| Facility | $142.63 | $142.63 | $142.63 | |
BCBS
| Professional | $142.63 | $142.63 | $142.63 | |
Cigna
| Facility | $142.63 | $142.63 | $142.63 | |
Cigna
| Professional | $65.02 | $121.59 | $264.11 | |
United
| Professional | $85.58 | $141.47 | $299.52 |