| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.32 | $153.32 | $244.36 | |
Aetna
| Professional | $143.93 | $197.30 | $244.36 | |
BCBS
| Facility | $212.01 | $212.01 | $212.01 | |
BCBS
| Professional | $212.01 | $212.01 | $212.01 | |
Cigna
| Facility | $170.96 | $170.96 | $170.96 | |
Cigna
| Professional | $124.80 | $124.80 | $256.58 | |
United
| Professional | $91.00 | $128.47 | $210.33 |