| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $128.82 | $128.82 | |
Aetna
| Professional | $102.33 | $141.25 | $199.53 | |
BCBS
| Facility | $245.47 | $288.40 | $316.23 | |
BCBS
| Professional | $95.50 | $112.20 | $208.93 | |
Cigna
| Professional | $204.17 | $204.17 | $346.74 | |
United
| Professional | $91.20 | $134.90 | $199.53 |