| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.87 | $143.60 | $249.74 | |
Aetna
| Professional | $97.40 | $143.60 | $143.60 | |
BCBS
| Facility | $57.67 | $69.98 | $94.15 | |
BCBS
| Professional | $63.74 | $93.65 | $110.51 | |
Cigna
| Facility | $81.66 | $101.46 | $391.25 | |
Cigna
| Professional | $52.13 | $59.06 | $511.73 | |
United
| Professional | $52.45 | $52.45 | $74.92 |