| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.47 | $199.47 | $199.47 | |
Aetna
| Professional | $98.81 | $98.81 | $154.50 | |
BCBS
| Facility | $172.31 | $172.31 | $172.31 | |
BCBS
| Professional | $172.31 | $172.31 | $172.31 | |
Cigna
| Facility | $121.82 | $121.82 | $215.83 | |
Cigna
| Professional | $88.93 | $88.93 | $121.82 | |
United
| Professional | $79.56 | $88.03 | $97.73 |