| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $232.82 | $232.82 | $232.82 | |
Aetna
| Professional | $36.59 | $58.09 | $93.20 | |
BCBS
| Facility | $74.01 | $83.55 | $150.08 | |
BCBS
| Professional | $36.09 | $42.46 | $51.30 | |
Cigna
| Facility | $200.83 | $200.83 | $200.83 | |
Cigna
| Professional | $48.84 | $74.20 | $117.73 | |
United
| Professional | $35.95 | $48.59 | $83.76 |