| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.41 | $178.41 | $284.33 | |
Aetna
| Professional | $169.87 | $203.49 | $284.33 | |
BCBS
| Facility | $246.69 | $246.69 | $246.69 | |
BCBS
| Professional | $246.69 | $246.69 | $246.69 | |
Cigna
| Facility | $176.75 | $176.75 | $180.09 | |
Cigna
| Professional | $129.03 | $129.03 | $180.09 | |
United
| Professional | $94.08 | $148.10 | $237.07 |