| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.14 | $134.30 | $273.12 | |
Aetna
| Professional | $100.14 | $100.14 | $110.15 | |
BCBS
| Facility | $36.03 | $43.72 | $58.82 | |
BCBS
| Professional | $95.20 | $95.20 | $95.20 | |
Cigna
| Facility | $106.62 | $106.62 | $106.62 | |
Cigna
| Professional | $106.62 | $106.62 | $107.88 | |
United
| Professional | $95.20 | $109.16 | $115.46 |