| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.90 | $288.24 | $288.24 | |
Aetna
| Professional | $102.50 | $108.15 | $169.10 | |
BCBS
| Facility | $188.59 | $188.59 | $188.59 | |
BCBS
| Professional | $188.59 | $188.59 | $188.59 | |
Cigna
| Facility | $106.63 | $106.63 | $209.12 | |
Cigna
| Professional | $77.84 | $77.84 | $106.63 | |
United
| Professional | $76.95 | $85.13 | $94.52 |