| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.89 | $180.89 | $193.51 | |
Aetna
| Professional | $159.40 | $177.28 | $219.05 | |
BCBS
| Facility | $33.36 | $57.81 | $59.81 | |
BCBS
| Professional | $53.31 | $161.71 | $167.42 | |
Cigna
| Facility | $540.30 | $688.65 | $1,244.22 | |
Cigna
| Professional | $45.05 | $45.05 | $45.05 | |
United
| Professional | $161.71 | $161.71 | $161.71 |