| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.79 | $121.79 | $190.29 | |
Aetna
| Professional | $105.55 | $177.08 | $190.29 | |
BCBS
| Facility | $168.42 | $168.42 | $168.42 | |
BCBS
| Professional | $168.42 | $168.42 | $168.42 | |
Cigna
| Facility | $171.65 | $171.65 | $171.65 | |
Cigna
| Professional | $145.90 | $145.90 | $171.65 | |
United
| Professional | $64.23 | $108.42 | $171.67 |