| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.69 | $169.93 | $193.66 | |
Aetna
| Professional | $115.96 | $168.73 | $228.27 | |
BCBS
| Facility | $266.47 | $279.79 | $484.98 | |
BCBS
| Professional | $153.04 | $171.26 | $225.18 | |
Cigna
| Facility | $178.39 | $178.39 | $178.39 | |
Cigna
| Professional | $130.22 | $157.24 | $215.20 | |
United
| Professional | $99.71 | $132.94 | $212.31 |