| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.75 | $149.75 | $238.67 | |
Aetna
| Professional | $149.75 | $190.32 | $241.01 | |
BCBS
| Facility | $250.00 | $250.00 | $250.00 | |
BCBS
| Professional | $250.00 | $250.00 | $250.00 | |
Cigna
| Facility | $211.82 | $211.82 | $211.82 | |
Cigna
| Professional | $154.63 | $154.63 | $211.82 | |
United
| Professional | $102.68 | $167.89 | $271.88 |