| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.07 | $50.07 | $50.07 | |
Aetna
| Professional | $47.19 | $50.07 | $229.08 | |
BCBS
| Facility | $182.91 | $221.97 | $298.62 | |
BCBS
| Professional | $230.00 | $230.00 | $230.00 | |
Cigna
| Facility | $57.66 | $57.66 | $57.66 | |
Cigna
| Professional | $57.66 | $57.66 | $76.20 | |
United
| Professional | $226.32 | $276.00 | $303.60 |