| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.57 | $136.43 | $161.15 | |
Aetna
| Professional | $114.15 | $134.12 | $175.73 | |
BCBS
| Facility | $183.74 | $183.74 | $420.87 | |
BCBS
| Professional | $183.74 | $183.74 | $225.92 | |
Cigna
| Facility | $210.68 | $210.68 | $210.68 | |
Cigna
| Professional | $153.80 | $210.68 | $217.00 | |
United
| Professional | $118.56 | $142.69 | $253.20 |