| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.30 | $107.92 | $199.16 | |
Aetna
| Professional | $75.23 | $107.92 | $188.37 | |
BCBS
| Facility | $117.26 | $117.26 | $117.26 | |
BCBS
| Professional | $117.26 | $117.26 | $117.26 | |
Cigna
| Facility | $63.77 | $71.40 | $131.09 | |
Cigna
| Professional | $38.29 | $44.74 | $140.94 | |
United
| Professional | $41.21 | $49.85 | $202.22 |