| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.65 | $181.03 | $227.22 | |
Aetna
| Professional | $156.01 | $184.35 | $268.02 | |
BCBS
| Facility | $349.53 | $374.12 | $699.06 | |
BCBS
| Professional | $194.55 | $195.45 | $293.10 | |
Cigna
| Facility | $231.66 | $231.66 | $231.66 | |
Cigna
| Professional | $169.11 | $216.54 | $246.96 | |
United
| Professional | $133.01 | $179.62 | $253.13 |