| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $195.14 | $203.72 | $214.44 | |
Aetna
| Professional | $195.14 | $214.44 | $214.44 | |
BCBS
| Facility | $135.04 | $135.04 | $202.56 | |
BCBS
| Professional | $133.03 | $156.15 | $159.90 | |
Cigna
| Professional | $119.00 | $119.00 | $119.00 | |
United
| Professional | $85.78 | $170.07 | $232.33 |