| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.43 | $133.88 | $228.86 | |
Aetna
| Professional | $133.88 | $133.88 | $133.88 | |
BCBS
| Facility | $146.07 | $177.26 | $238.48 | |
BCBS
| Professional | $72.65 | $74.25 | $83.83 | |
Cigna
| Facility | $90.00 | $96.69 | $358.39 | |
Cigna
| Professional | $131.75 | $131.75 | $164.68 | |
United
| Professional | $48.06 | $48.06 | $114.43 |