| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.64 | $124.64 | $124.64 | |
Aetna
| Professional | $123.15 | $124.64 | $124.64 | |
BCBS
| Facility | $104.59 | $104.59 | $125.51 | |
BCBS
| Professional | $155.80 | $193.00 | $399.00 | |
Cigna
| Professional | $39.47 | $202.92 | $267.69 | |
United
| Professional | $33.02 | $52.35 | $92.23 |