| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.56 | $262.39 | $577.29 | |
Aetna
| Professional | $177.56 | $177.56 | $236.30 | |
BCBS
| Facility | $177.55 | $292.72 | $564.53 | |
BCBS
| Professional | $158.87 | $158.87 | $179.07 | |
Cigna
| Facility | $174.44 | $174.44 | $174.44 | |
Cigna
| Professional | $174.44 | $174.44 | $174.44 | |
United
| Professional | $155.75 | $179.11 | $186.90 |