| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.00 | $187.00 | $188.50 | |
Aetna
| Professional | $133.00 | $137.00 | $143.00 | |
BCBS
| Facility | $22.90 | $22.90 | $44.20 | |
BCBS
| Professional | $20.00 | $20.58 | $22.78 | |
Cigna
| Professional | $33.56 | $33.56 | $33.56 | |
United
| Professional | $290.00 | $290.00 | $290.00 |