| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.66 | $129.66 | $206.65 | |
Aetna
| Professional | $129.63 | $176.99 | $206.65 | |
BCBS
| Facility | $179.30 | $179.30 | $179.30 | |
BCBS
| Professional | $179.30 | $179.30 | $179.30 | |
Cigna
| Facility | $166.23 | $166.23 | $166.23 | |
Cigna
| Professional | $121.35 | $121.35 | $166.23 | |
United
| Professional | $76.95 | $109.84 | $177.87 |