| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.82 | $134.82 | $186.18 | |
Aetna
| Professional | $64.20 | $134.82 | $134.82 | |
BCBS
| Facility | $121.98 | $121.98 | $121.98 | |
BCBS
| Professional | $96.30 | $128.40 | $144.44 | |
Cigna
| Facility | $69.55 | $80.68 | $159.97 | |
United
| Facility | $96.30 | $96.30 | $96.30 | |
United
| Professional | $44.94 | $64.20 | $107.00 |