| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.72 | $128.72 | $128.72 | |
Aetna
| Professional | $127.18 | $128.72 | $128.72 | |
BCBS
| Facility | $220.73 | $220.73 | $264.87 | |
BCBS
| Professional | $160.91 | $200.00 | $412.00 | |
Cigna
| Facility | $257.51 | $257.51 | $257.51 | |
Cigna
| Professional | $88.46 | $209.31 | $307.27 | |
United
| Professional | $54.07 | $76.08 | $95.26 |