| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.10 | $130.10 | $130.10 | |
Aetna
| Professional | $93.27 | $104.74 | $134.86 | |
BCBS
| Facility | $195.09 | $236.76 | $318.52 | |
BCBS
| Professional | $78.83 | $107.98 | $127.42 | |
Cigna
| Professional | $97.61 | $114.83 | $167.73 | |
United
| Professional | $80.59 | $107.91 | $163.28 |