| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.98 | $87.08 | $156.00 | |
Aetna
| Professional | $98.15 | $98.16 | $118.77 | |
BCBS
| Facility | $98.16 | $98.16 | $147.24 | |
BCBS
| Professional | $98.16 | $98.16 | $100.12 | |
Cigna
| Facility | $96.58 | $96.58 | $96.58 | |
Cigna
| Professional | $96.58 | $96.58 | $96.58 | |
United
| Professional | $81.93 | $97.44 | $107.79 |