| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.43 | $146.54 | $254.86 | |
Aetna
| Professional | $99.40 | $146.54 | $146.54 | |
BCBS
| Facility | $57.67 | $69.98 | $94.15 | |
BCBS
| Professional | $77.34 | $113.66 | $134.12 | |
Cigna
| Facility | $82.83 | $103.54 | $399.47 | |
Cigna
| Professional | $56.26 | $85.63 | $621.72 | |
United
| Professional | $53.52 | $53.52 | $91.02 |