| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.79 | $126.53 | $176.80 | |
Aetna
| Professional | $89.56 | $119.72 | $164.41 | |
BCBS
| Facility | $119.72 | $119.72 | $119.72 | |
BCBS
| Professional | $95.03 | $127.59 | $202.96 | |
Cigna
| Facility | $175.89 | $175.89 | $175.89 | |
Cigna
| Professional | $95.00 | $134.00 | $203.86 | |
United
| Facility | $147.38 | $147.38 | $147.38 | |
United
| Professional | $118.63 | $150.06 | $264.75 |