| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.68 | $115.68 | $115.68 | |
Aetna
| Professional | $88.69 | $115.68 | $187.39 | |
BCBS
| Facility | $166.45 | $176.36 | $225.90 | |
BCBS
| Professional | $67.55 | $73.36 | $128.25 | |
Cigna
| Professional | $92.54 | $102.81 | $198.80 | |
United
| Professional | $78.72 | $107.19 | $148.05 |