| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.96 | $169.96 | $456.14 | |
Aetna
| Professional | $169.96 | $169.96 | $186.95 | |
BCBS
| Facility | $146.09 | $177.29 | $238.52 | |
BCBS
| Professional | $166.75 | $166.75 | $166.75 | |
Cigna
| Facility | $186.76 | $186.76 | $186.76 | |
Cigna
| Professional | $181.77 | $186.76 | $186.76 | |
United
| Professional | $166.75 | $188.43 | $199.95 |