| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.00 | $105.15 | $200.00 | |
Aetna
| Professional | $68.92 | $89.55 | $105.15 | |
BCBS
| Facility | $119.93 | $186.32 | $381.58 | |
BCBS
| Professional | $56.84 | $74.73 | $97.37 | |
Cigna
| Facility | $125.76 | $160.05 | $259.29 | |
Cigna
| Professional | $136.71 | $136.71 | $210.27 | |
United
| Professional | $80.55 | $105.05 | $174.97 |