| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.33 | $195.05 | $207.29 | |
Aetna
| Professional | $155.36 | $195.05 | $218.00 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
BCBS
| Professional | $141.87 | $170.63 | $170.63 | |
Cigna
| Facility | $189.34 | $189.34 | $189.34 | |
Cigna
| Professional | $160.94 | $160.94 | $160.94 | |
United
| Professional | $96.39 | $144.59 | $240.98 |