| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.66 | $165.99 | $255.00 | |
Aetna
| Professional | $110.66 | $157.21 | $187.06 | |
BCBS
| Facility | $138.04 | $138.04 | $138.04 | |
BCBS
| Professional | $152.76 | $202.19 | $202.19 | |
Cigna
| Professional | $118.46 | $224.42 | $278.82 | |
United
| Professional | $87.29 | $152.06 | $245.55 |