| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.74 | $166.49 | $1,987.97 | |
Aetna
| Professional | $138.74 | $138.74 | $166.49 | |
BCBS
| Facility | $138.74 | $154.04 | $169.18 | |
BCBS
| Professional | $138.74 | $138.74 | $154.34 | |
Cigna
| Facility | $133.14 | $138.74 | $138.74 | |
Cigna
| Professional | $138.74 | $138.74 | $155.05 | |
United
| Professional | $138.74 | $138.74 | $159.55 |