| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.49 | $84.49 | $242.52 | |
Aetna
| Professional | $84.48 | $84.49 | $84.49 | |
BCBS
| Facility | $94.43 | $94.43 | $141.65 | |
BCBS
| Professional | $94.43 | $94.43 | $96.32 | |
Cigna
| Facility | $92.77 | $92.77 | $92.77 | |
Cigna
| Professional | $92.77 | $92.77 | $92.77 | |
United
| Professional | $78.70 | $93.60 | $130.53 |