| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.50 | $154.50 | $246.23 | |
Aetna
| Professional | $152.80 | $176.22 | $246.23 | |
BCBS
| Facility | $213.63 | $213.63 | $213.63 | |
BCBS
| Professional | $213.63 | $213.63 | $213.63 | |
Cigna
| Facility | $190.78 | $190.78 | $190.78 | |
Cigna
| Professional | $139.27 | $139.27 | $190.78 | |
United
| Professional | $86.76 | $130.88 | $205.31 |