| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.58 | $210.37 | $210.37 | |
Aetna
| Professional | $172.81 | $199.90 | $227.38 | |
BCBS
| Facility | $21.48 | $21.48 | $21.48 | |
BCBS
| Professional | $70.00 | $132.52 | $191.82 | |
Cigna
| Facility | $239.92 | $239.92 | $239.92 | |
Cigna
| Professional | $172.39 | $172.39 | $329.53 | |
United
| Professional | $184.98 | $230.43 | $424.36 |