| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.15 | $133.15 | $133.15 | |
Aetna
| Professional | $88.93 | $100.20 | $148.40 | |
BCBS
| Facility | $183.97 | $210.19 | $254.17 | |
BCBS
| Professional | $86.28 | $123.26 | $123.26 | |
Cigna
| Facility | $471.02 | $471.02 | $471.02 | |
Cigna
| Professional | $69.92 | $105.21 | $172.22 | |
United
| Professional | $76.17 | $102.42 | $167.34 |