| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168.84 | $168.84 | $269.08 | |
Aetna
| Professional | $168.84 | $194.73 | $269.08 | |
BCBS
| Facility | $233.47 | $233.47 | $233.47 | |
BCBS
| Professional | $233.47 | $233.47 | $233.47 | |
Cigna
| Facility | $218.57 | $218.57 | $218.57 | |
Cigna
| Professional | $159.56 | $159.56 | $218.57 | |
United
| Professional | $100.20 | $143.03 | $237.74 |