| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.63 | $119.63 | $119.63 | |
Aetna
| Professional | $92.03 | $103.28 | $123.46 | |
BCBS
| Facility | $346.90 | $420.98 | $566.35 | |
BCBS
| Professional | $76.13 | $104.29 | $114.72 | |
Cigna
| Facility | $60.00 | $65.00 | $75.00 | |
Cigna
| Professional | $73.11 | $99.26 | $299.50 | |
United
| Facility | $105.14 | $105.14 | $105.14 | |
United
| Professional | $66.79 | $92.13 | $132.80 |