| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.13 | $109.13 | $109.13 | |
Aetna
| Professional | $107.82 | $109.13 | $109.13 | |
BCBS
| Facility | $187.13 | $187.13 | $224.55 | |
BCBS
| Professional | $136.41 | $169.00 | $349.00 | |
Cigna
| Facility | $218.43 | $218.43 | $218.43 | |
Cigna
| Professional | $177.36 | $177.36 | $260.70 | |
United
| Professional | $45.83 | $62.53 | $148.88 |