| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.53 | $229.09 | $302.00 | |
Aetna
| Professional | $128.82 | $162.18 | $229.09 | |
BCBS
| Facility | $147.91 | $177.83 | $239.88 | |
BCBS
| Professional | $26.30 | $35.48 | $128.82 | |
Cigna
| Facility | $128.82 | $162.18 | $436.52 | |
United
| Facility | $83.18 | $181.97 | $199.53 | |
United
| Professional | $83.18 | $83.18 | $120.23 |