| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $275.42 | $302.00 | |
Aetna
| Professional | $112.20 | $123.03 | $269.15 | |
BCBS
| Facility | $245.47 | $245.47 | $245.47 | |
BCBS
| Professional | $245.47 | $245.47 | $245.47 | |
Cigna
| Facility | $97.72 | $102.33 | $112.20 | |
United
| Facility | $134.90 | $147.91 | $199.53 | |
United
| Professional | $63.10 | $89.13 | $371.54 |