| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.56 | $266.33 | $272.16 | |
Aetna
| Professional | $177.56 | $177.56 | $195.31 | |
BCBS
| Facility | $192.63 | $192.63 | $192.63 | |
BCBS
| Professional | $184.26 | $192.63 | $192.63 | |
Cigna
| Facility | $141.68 | $174.44 | $174.44 | |
Cigna
| Professional | $174.44 | $174.44 | $174.44 | |
United
| Professional | $147.96 | $163.54 | $186.90 |