| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.90 | $169.90 | $172.63 | |
Aetna
| Professional | $120.16 | $136.13 | $185.47 | |
BCBS
| Facility | $257.05 | $324.89 | $442.87 | |
BCBS
| Professional | $122.49 | $144.10 | $244.49 | |
Cigna
| Professional | $136.58 | $166.69 | $292.64 | |
United
| Professional | $136.68 | $165.45 | $230.19 |