| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.50 | $162.50 | $227.50 | |
Aetna
| Professional | $162.50 | $162.50 | $162.50 | |
BCBS
| Facility | $95.97 | $112.60 | $169.94 | |
BCBS
| Professional | $151.58 | $151.58 | $154.61 | |
Cigna
| Facility | $137.80 | $137.80 | $137.80 | |
Cigna
| Professional | $137.80 | $137.80 | $137.80 | |
United
| Professional | $332.96 | $332.96 | $416.20 |