| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.00 | $70.00 | $70.00 | |
Aetna
| Professional | $70.00 | $70.00 | $70.00 | |
BCBS
| Facility | $247.25 | $247.25 | $477.19 | |
BCBS
| Professional | $77.31 | $100.00 | $196.90 | |
Cigna
| Professional | $60.00 | $60.00 | $60.00 | |
United
| Professional | $79.50 | $89.00 | $167.00 |