| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.55 | $127.55 | $127.55 | |
Aetna
| Professional | $127.54 | $127.55 | $140.30 | |
BCBS
| Facility | $36.03 | $43.72 | $58.82 | |
BCBS
| Professional | $120.06 | $120.06 | $120.06 | |
Cigna
| Facility | $134.47 | $134.47 | $134.47 | |
Cigna
| Professional | $134.47 | $134.47 | $144.86 | |
United
| Professional | $120.06 | $134.99 | $135.66 |