| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.90 | $272.04 | $611.99 | |
Aetna
| Professional | $43.50 | $56.40 | $64.17 | |
BCBS
| Facility | $99.76 | $99.76 | $119.72 | |
BCBS
| Professional | $77.68 | $96.00 | $199.00 | |
Cigna
| Facility | $124.22 | $124.22 | $124.22 | |
Cigna
| Professional | $30.87 | $37.77 | $89.31 | |
United
| Professional | $26.10 | $33.52 | $79.81 |