| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.54 | $144.54 | $194.98 | |
Aetna
| Professional | $112.20 | $134.90 | $194.98 | |
BCBS
| Facility | $0.02 | $0.02 | $0.03 | |
BCBS
| Professional | $158.49 | $158.49 | $173.78 | |
Cigna
| Facility | $208.93 | $208.93 | $208.93 | |
Cigna
| Professional | $154.88 | $154.88 | $208.93 | |
United
| Facility | $102.33 | $141.25 | $177.83 | |
United
| Professional | $95.50 | $131.83 | $218.78 |