| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.00 | $151.88 | $168.49 | |
Aetna
| Professional | $65.56 | $151.88 | $168.49 | |
BCBS
| Facility | $98.60 | $98.60 | $98.60 | |
BCBS
| Professional | $98.60 | $98.60 | $98.60 | |
Cigna
| Facility | $53.95 | $56.65 | $69.59 | |
Cigna
| Professional | $35.53 | $63.95 | $142.11 | |
United
| Professional | $34.86 | $49.80 | $124.50 |