| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.88 | $149.84 | $166.22 | |
Aetna
| Professional | $64.69 | $90.07 | $157.21 | |
BCBS
| Facility | $163.29 | $163.29 | $163.29 | |
BCBS
| Professional | $163.29 | $163.29 | $163.29 | |
Cigna
| Facility | $53.22 | $71.39 | $140.84 | |
Cigna
| Professional | $37.28 | $55.23 | $117.71 | |
United
| Professional | $34.39 | $47.57 | $136.04 |