| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.52 | $95.52 | $95.52 | |
Aetna
| Professional | $95.52 | $95.52 | $95.52 | |
BCBS
| Facility | $138.44 | $138.44 | $166.13 | |
BCBS
| Professional | $119.40 | $148.00 | $306.00 | |
Cigna
| Facility | $191.21 | $191.21 | $191.21 | |
Cigna
| Professional | $49.50 | $109.86 | $137.32 | |
United
| Professional | $40.11 | $46.62 | $110.99 |