| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.15 | $164.15 | $261.61 | |
Aetna
| Professional | $161.77 | $187.23 | $261.61 | |
BCBS
| Facility | $226.97 | $226.97 | $226.97 | |
BCBS
| Professional | $226.97 | $226.97 | $226.97 | |
Cigna
| Facility | $181.86 | $181.86 | $181.86 | |
Cigna
| Professional | $132.76 | $132.76 | $181.86 | |
United
| Facility | $98.33 | $143.90 | $143.90 | |
United
| Professional | $96.80 | $139.05 | $223.75 |