| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.44 | $88.44 | $98.06 | |
Aetna
| Professional | $67.45 | $88.44 | $115.37 | |
BCBS
| Facility | $167.63 | $214.09 | $244.97 | |
BCBS
| Professional | $85.77 | $122.53 | $158.78 | |
Cigna
| Professional | $139.56 | $139.56 | $228.22 | |
United
| Professional | $82.36 | $86.13 | $141.55 |