| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.42 | $164.42 | $164.42 | |
Aetna
| Professional | $164.41 | $164.42 | $180.86 | |
BCBS
| Facility | $146.09 | $177.29 | $238.52 | |
BCBS
| Professional | $196.09 | $196.09 | $196.09 | |
Cigna
| Facility | $219.62 | $219.62 | $219.62 | |
Cigna
| Professional | $219.62 | $219.62 | $267.26 | |
United
| Professional | $164.42 | $185.79 | $235.16 |