| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.83 | $225.83 | $225.83 | |
Aetna
| Professional | $135.50 | $225.83 | $225.83 | |
BCBS
| Facility | $209.84 | $209.84 | $230.83 | |
BCBS
| Professional | $199.85 | $199.85 | $199.85 | |
Cigna
| Professional | $119.00 | $119.00 | $119.00 | |
United
| Professional | $85.78 | $228.68 | $347.39 |