| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.80 | $162.80 | $162.80 | |
Aetna
| Professional | $130.75 | $153.83 | $209.96 | |
BCBS
| Facility | $305.85 | $377.87 | $413.21 | |
BCBS
| Professional | $144.27 | $206.10 | $293.47 | |
Cigna
| Professional | $258.50 | $258.50 | $395.80 | |
United
| Professional | $111.92 | $164.16 | $258.02 |