| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.67 | $104.67 | $104.67 | |
Aetna
| Professional | $104.67 | $104.67 | $115.13 | |
BCBS
| Facility | $146.09 | $177.29 | $238.52 | |
BCBS
| Professional | $102.74 | $102.74 | $102.74 | |
Cigna
| Facility | $115.07 | $115.07 | $115.07 | |
Cigna
| Professional | $115.07 | $115.07 | $130.83 | |
United
| Professional | $102.74 | $116.10 | $123.14 |