| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.66 | $221.66 | $228.66 | |
Aetna
| Professional | $145.19 | $221.66 | $228.66 | |
BCBS
| Facility | $206.49 | $206.49 | $206.49 | |
BCBS
| Professional | $206.49 | $206.49 | $206.49 | |
Cigna
| Facility | $178.39 | $178.39 | $178.39 | |
Cigna
| Professional | $130.22 | $130.22 | $178.39 | |
United
| Professional | $79.76 | $130.16 | $286.07 |