| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $190.55 | $389.05 | |
Aetna
| Professional | $190.55 | $190.55 | $229.09 | |
BCBS
| Facility | $169.82 | $251.19 | $524.81 | |
BCBS
| Professional | $144.54 | $173.78 | $251.19 | |
Cigna
| Facility | $190.55 | $190.55 | $245.47 | |
Cigna
| Professional | $190.55 | $194.98 | $251.19 | |
United
| Facility | $162.18 | $181.97 | $269.15 | |
United
| Professional | $169.82 | $194.98 | $208.93 |