| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.88 | $100.87 | $122.76 | |
Aetna
| Professional | $69.98 | $89.14 | $111.80 | |
BCBS
| Facility | $0.02 | $0.02 | $0.02 | |
BCBS
| Professional | $71.59 | $95.39 | $157.34 | |
Cigna
| Facility | $113.46 | $113.46 | $113.46 | |
Cigna
| Professional | $73.14 | $103.15 | $177.95 | |
United
| Professional | $85.09 | $110.00 | $172.48 |