| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.13 | $199.71 | $221.53 | |
Aetna
| Professional | $86.21 | $199.71 | $221.53 | |
BCBS
| Facility | $211.42 | $211.42 | $211.42 | |
BCBS
| Professional | $211.42 | $211.42 | $211.42 | |
Cigna
| Facility | $70.93 | $82.78 | $222.09 | |
Cigna
| Professional | $49.66 | $114.18 | $207.60 | |
United
| Professional | $46.75 | $74.44 | $218.26 |