| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.50 | $125.50 | $125.50 | |
Aetna
| Professional | $125.50 | $125.50 | $125.50 | |
BCBS
| Facility | $140.27 | $140.27 | $210.41 | |
BCBS
| Professional | $140.27 | $140.27 | $143.08 | |
Cigna
| Facility | $137.94 | $137.94 | $137.94 | |
Cigna
| Professional | $137.94 | $137.94 | $137.94 | |
United
| Professional | $132.88 | $147.65 | $177.18 |