| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.28 | $169.96 | $307.20 | |
Aetna
| Professional | $148.00 | $169.96 | $191.25 | |
BCBS
| Facility | $166.75 | $166.75 | $166.75 | |
BCBS
| Professional | $166.75 | $166.75 | $166.75 | |
Cigna
| Facility | $150.94 | $186.76 | $186.76 | |
Cigna
| Professional | $186.76 | $186.76 | $186.76 | |
United
| Professional | $158.41 | $166.75 | $199.95 |