| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.80 | $98.67 | $264.10 | |
Aetna
| Professional | $47.90 | $47.90 | $47.90 | |
BCBS
| Facility | $145.91 | $145.91 | $175.10 | |
BCBS
| Professional | $26.00 | $53.00 | $119.75 | |
Cigna
| Facility | $191.91 | $191.91 | $191.91 | |
Cigna
| Professional | $58.52 | $156.05 | $205.62 | |
United
| Professional | $40.24 | $50.30 | $119.75 |