| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.43 | $233.20 | $271.14 | |
Aetna
| Professional | $100.67 | $233.20 | $258.68 | |
BCBS
| Facility | $187.66 | $187.66 | $187.66 | |
BCBS
| Professional | $187.66 | $187.66 | $187.66 | |
Cigna
| Facility | $82.83 | $96.66 | $226.64 | |
Cigna
| Professional | $54.53 | $118.25 | $218.10 | |
United
| Professional | $53.52 | $76.45 | $217.52 |