| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.00 | $180.00 | $180.00 | |
Aetna
| Professional | $106.07 | $180.00 | $180.00 | |
BCBS
| Facility | $231.85 | $307.88 | $380.88 | |
BCBS
| Professional | $109.79 | $129.16 | $210.43 | |
Cigna
| Professional | $78.91 | $78.91 | $360.05 | |
United
| Professional | $147.97 | $267.94 | $372.78 |