| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $162.18 | $295.12 | |
Aetna
| Professional | $162.18 | $162.18 | $199.53 | |
BCBS
| Facility | $0.02 | $0.05 | $223.87 | |
BCBS
| Professional | $177.83 | $177.83 | $234.42 | |
Cigna
| Facility | $169.82 | $354.81 | $645.65 | |
Cigna
| Professional | $162.18 | $199.53 | $223.87 | |
United
| Facility | $104.71 | $173.78 | $316.23 | |
United
| Professional | $165.96 | $190.55 | $199.53 |