| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.93 | $156.49 | $207.70 | |
Aetna
| Professional | $115.01 | $156.38 | $243.71 | |
BCBS
| Facility | $117.50 | $148.25 | $184.00 | |
BCBS
| Professional | $111.05 | $162.16 | $253.71 | |
Cigna
| Facility | $178.68 | $178.68 | $178.68 | |
Cigna
| Professional | $138.26 | $201.03 | $319.50 | |
United
| Professional | $156.00 | $203.00 | $346.32 |