| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.66 | $93.33 | $195.24 | |
Aetna
| Professional | $91.66 | $91.66 | $93.33 | |
BCBS
| Facility | $270.83 | $293.00 | $876.00 | |
BCBS
| Professional | $203.28 | $239.16 | $320.39 | |
Cigna
| Professional | $357.51 | $357.51 | $357.51 | |
United
| Professional | $30.00 | $30.00 | $51.00 |