| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.83 | $149.83 | $217.35 | |
Aetna
| Professional | $149.83 | $149.83 | $202.50 | |
BCBS
| Facility | $160.25 | $246.26 | $454.32 | |
BCBS
| Professional | $149.96 | $149.96 | $164.73 | |
Cigna
| Facility | $164.66 | $164.66 | $164.66 | |
Cigna
| Professional | $164.66 | $164.66 | $164.66 | |
United
| Facility | $452.31 | $476.69 | $476.69 | |
United
| Professional | $147.02 | $169.07 | $176.42 |