| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.24 | $163.24 | $163.24 | |
Aetna
| Professional | $163.24 | $163.24 | $179.56 | |
BCBS
| Facility | $0.02 | $0.03 | $0.05 | |
BCBS
| Professional | $176.00 | $176.00 | $184.02 | |
Cigna
| Facility | $179.39 | $179.39 | $179.39 | |
Cigna
| Professional | $179.39 | $179.39 | $179.39 | |
United
| Professional | $164.98 | $191.12 | $197.98 |