| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.59 | $142.59 | $159.49 | |
Aetna
| Professional | $67.90 | $88.91 | $142.59 | |
BCBS
| Facility | $104.49 | $104.49 | $104.49 | |
BCBS
| Professional | $91.67 | $122.22 | $137.50 | |
Cigna
| Facility | $59.58 | $118.09 | $191.21 | |
United
| Facility | $91.67 | $91.67 | $91.67 | |
United
| Professional | $38.50 | $56.59 | $125.06 |