| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.20 | $104.71 | $112.20 | |
Aetna
| Professional | $67.61 | $87.10 | $134.90 | |
BCBS
| Facility | $363.08 | $363.08 | $407.38 | |
BCBS
| Professional | $74.13 | $100.00 | $117.49 | |
Cigna
| Professional | $67.61 | $97.72 | $158.49 | |
United
| Professional | $85.11 | $109.65 | $147.91 |