| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.62 | $283.68 | $403.50 | |
Aetna
| Professional | $142.62 | $142.63 | $142.63 | |
BCBS
| Facility | $36.58 | $44.39 | $59.72 | |
BCBS
| Professional | $85.58 | $85.58 | $108.40 | |
Cigna
| Facility | $112.18 | $120.52 | $453.70 | |
Cigna
| Professional | $69.94 | $98.92 | $165.43 | |
United
| Professional | $84.70 | $95.27 | $150.40 |