| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.12 | $185.05 | $205.27 | |
Aetna
| Professional | $79.88 | $185.05 | $205.27 | |
BCBS
| Facility | $278.68 | $278.68 | $278.68 | |
BCBS
| Professional | $278.68 | $278.68 | $278.68 | |
Cigna
| Facility | $65.73 | $76.70 | $245.57 | |
Cigna
| Professional | $43.25 | $46.08 | $173.00 | |
United
| Professional | $42.47 | $60.67 | $171.90 |