| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.95 | $84.95 | $84.95 | |
Aetna
| Professional | $60.04 | $84.95 | $125.20 | |
BCBS
| Facility | $158.81 | $184.28 | $207.95 | |
BCBS
| Professional | $76.50 | $90.00 | $126.07 | |
Cigna
| Professional | $113.86 | $202.00 | $246.71 | |
United
| Facility | $233.00 | $233.00 | $233.00 | |
United
| Professional | $320.00 | $320.00 | $320.00 |