| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.93 | $92.35 | $100.06 | |
Aetna
| Professional | $72.77 | $94.12 | $112.99 | |
BCBS
| Facility | $203.00 | $268.17 | $516.85 | |
BCBS
| Professional | $108.23 | $145.44 | $229.42 | |
Cigna
| Facility | $112.34 | $112.34 | $112.34 | |
Cigna
| Professional | $28.62 | $65.19 | $148.28 | |
United
| Professional | $67.06 | $99.19 | $180.60 |