| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.49 | $153.49 | $153.49 | |
Aetna
| Professional | $106.45 | $123.33 | $175.91 | |
BCBS
| Facility | $326.64 | $462.63 | $522.29 | |
BCBS
| Professional | $151.22 | $151.22 | $216.04 | |
Cigna
| Professional | $94.26 | $94.26 | $94.26 | |
United
| Professional | $87.96 | $115.25 | $192.09 |