| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.96 | $211.50 | $409.97 | |
Aetna
| Professional | $151.33 | $169.96 | $237.94 | |
BCBS
| Facility | $181.76 | $264.43 | $515.29 | |
BCBS
| Professional | $170.09 | $170.09 | $181.56 | |
Cigna
| Facility | $186.76 | $186.76 | $186.76 | |
Cigna
| Professional | $186.76 | $186.76 | $186.76 | |
United
| Professional | $166.75 | $191.76 | $200.10 |