| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.13 | $128.13 | $128.13 | |
Aetna
| Professional | $87.15 | $124.00 | $155.00 | |
BCBS
| Facility | $203.09 | $225.65 | $268.02 | |
BCBS
| Professional | $95.91 | $112.83 | $198.03 | |
Cigna
| Professional | $89.79 | $174.02 | $218.78 | |
United
| Professional | $93.06 | $124.19 | $195.39 |