| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $169.82 | $234.42 | |
Aetna
| Professional | $89.13 | $114.82 | $169.82 | |
BCBS
| Facility | $151.36 | $151.36 | $208.93 | |
BCBS
| Professional | $120.23 | $120.23 | $181.97 | |
Cigna
| Facility | $87.10 | $107.15 | $251.19 | |
United
| Facility | $120.23 | $120.23 | $134.90 | |
United
| Professional | $56.23 | $81.28 | $134.90 |