| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.50 | $125.50 | $141.65 | |
Aetna
| Professional | $125.50 | $125.50 | $138.05 | |
BCBS
| Facility | $0.02 | $0.03 | $0.07 | |
BCBS
| Professional | $135.00 | $135.00 | $147.65 | |
Cigna
| Facility | $137.94 | $137.94 | $137.94 | |
Cigna
| Professional | $137.94 | $137.94 | $137.94 | |
United
| Facility | $165.01 | $182.88 | $182.88 | |
United
| Professional | $147.65 | $147.65 | $177.18 |