| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $83.18 | $83.18 | |
Aetna
| Professional | $57.54 | $70.79 | $138.04 | |
BCBS
| Facility | $104.71 | $104.71 | $125.89 | |
BCBS
| Professional | $104.71 | $128.82 | $263.03 | |
Cigna
| Facility | $165.96 | $165.96 | $165.96 | |
Cigna
| Professional | $134.90 | $134.90 | $177.83 | |
United
| Facility | $83.18 | $83.18 | $83.18 | |
United
| Professional | $33.11 | $34.67 | $87.10 |