| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.71 | $136.02 | $299.45 | |
Aetna
| Professional | $58.72 | $136.02 | $150.88 | |
BCBS
| Facility | $104.56 | $104.56 | $104.56 | |
BCBS
| Professional | $104.56 | $104.56 | $104.56 | |
Cigna
| Facility | $48.31 | $56.38 | $148.05 | |
Cigna
| Professional | $33.85 | $76.12 | $138.40 | |
United
| Professional | $31.22 | $49.63 | $148.88 |