| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.36 | $187.15 | $484.50 | |
Aetna
| Professional | $42.48 | $67.20 | $69.91 | |
BCBS
| Facility | $112.08 | $112.08 | $134.49 | |
BCBS
| Professional | $81.70 | $101.00 | $209.00 | |
Cigna
| Facility | $130.50 | $130.50 | $130.50 | |
Cigna
| Professional | $106.52 | $106.52 | $155.96 | |
United
| Professional | $27.45 | $37.45 | $89.17 |