| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $156.34 | $156.34 | $249.17 | |
Aetna
| Professional | $146.76 | $189.26 | $249.17 | |
BCBS
| Facility | $216.18 | $216.18 | $216.18 | |
BCBS
| Professional | $216.18 | $216.18 | $216.18 | |
Cigna
| Facility | $174.32 | $174.32 | $174.32 | |
Cigna
| Professional | $127.25 | $127.25 | $174.32 | |
United
| Professional | $92.78 | $132.44 | $214.46 |