| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $128.82 | $128.82 | |
Aetna
| Professional | $81.28 | $128.82 | $275.42 | |
BCBS
| Facility | $208.93 | $234.42 | $269.15 | |
BCBS
| Professional | $79.43 | $112.20 | $190.55 | |
Cigna
| Professional | $89.13 | $173.78 | $239.88 | |
United
| Professional | $102.33 | $128.82 | $194.98 |