| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.79 | $109.79 | $109.79 | |
Aetna
| Professional | $109.79 | $116.18 | $171.12 | |
BCBS
| Facility | $375.95 | $532.47 | $601.14 | |
BCBS
| Professional | $118.77 | $139.72 | $227.65 | |
Cigna
| Professional | $135.78 | $135.78 | $135.78 | |
United
| Professional | $101.24 | $132.65 | $221.09 |