| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.11 | $98.11 | $149.24 | |
Aetna
| Professional | $98.11 | $98.11 | $98.11 | |
BCBS
| Facility | $106.04 | $106.04 | $127.25 | |
BCBS
| Professional | $122.64 | $152.00 | $314.00 | |
Cigna
| Facility | $196.10 | $196.10 | $196.10 | |
Cigna
| Professional | $40.54 | $112.75 | $140.94 | |
United
| Professional | $37.19 | $41.21 | $90.64 |