| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.91 | $158.91 | $163.68 | |
Aetna
| Professional | $158.91 | $158.91 | $166.86 | |
BCBS
| Facility | $173.22 | $266.19 | $491.09 | |
BCBS
| Professional | $158.91 | $158.91 | $167.91 | |
Cigna
| Facility | $149.91 | $158.91 | $158.91 | |
Cigna
| Professional | $158.91 | $158.91 | $158.91 | |
United
| Professional | $63.57 | $158.91 | $182.76 |