| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.99 | $173.83 | $192.83 | |
Aetna
| Professional | $75.04 | $173.83 | $192.83 | |
BCBS
| Facility | $161.38 | $161.38 | $161.38 | |
BCBS
| Professional | $161.38 | $161.38 | $161.38 | |
Cigna
| Facility | $43.88 | $64.83 | $80.56 | |
Cigna
| Professional | $40.61 | $43.25 | $162.50 | |
United
| Professional | $39.90 | $56.99 | $162.15 |