| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.65 | $114.82 | $138.04 | |
Aetna
| Professional | $67.61 | $107.15 | $165.96 | |
BCBS
| Facility | $173.78 | $194.98 | $354.81 | |
BCBS
| Professional | $74.13 | $102.33 | $162.18 | |
Cigna
| Professional | $91.20 | $138.04 | $251.19 | |
United
| Professional | $91.20 | $128.82 | $204.17 |