| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $169.82 | $169.82 | |
Aetna
| Professional | $57.54 | $91.20 | $134.90 | |
BCBS
| Facility | $154.88 | $204.17 | $12,302.69 | |
BCBS
| Professional | $70.79 | $85.11 | $100.00 | |
Cigna
| Professional | $75.86 | $104.71 | $181.97 | |
United
| Facility | $97.72 | $97.72 | $97.72 | |
United
| Professional | $66.07 | $91.20 | $125.89 |