| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $165.96 | $354.81 | |
Aetna
| Professional | $158.49 | $158.49 | $173.78 | |
BCBS
| Facility | $165.96 | $199.53 | $416.87 | |
BCBS
| Professional | $158.49 | $158.49 | $208.93 | |
Cigna
| Facility | $151.36 | $158.49 | $223.87 | |
Cigna
| Professional | $158.49 | $162.18 | $204.17 | |
United
| Facility | $0.15 | $58.88 | $245.47 | |
United
| Professional | $63.10 | $158.49 | $173.78 |