| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.92 | $191.92 | $191.92 | |
Aetna
| Professional | $191.91 | $191.92 | $211.11 | |
BCBS
| Facility | $191.40 | $306.55 | $608.19 | |
BCBS
| Professional | $171.72 | $171.72 | $191.92 | |
Cigna
| Facility | $188.55 | $188.55 | $188.55 | |
Cigna
| Professional | $188.55 | $188.55 | $188.55 | |
United
| Professional | $168.35 | $190.24 | $202.02 |