| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.69 | $119.69 | $165.28 | |
Aetna
| Professional | $80.73 | $119.69 | $119.69 | |
BCBS
| Facility | $108.29 | $108.29 | $108.29 | |
BCBS
| Professional | $96.89 | $142.49 | $142.49 | |
Cigna
| Facility | $45.63 | $71.62 | $142.00 | |
Cigna
| Professional | $81.78 | $99.82 | $142.68 | |
United
| Professional | $39.90 | $56.99 | $94.99 |