| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.54 | $83.18 | $144.54 | |
Aetna
| Professional | $57.54 | $83.18 | $125.89 | |
BCBS
| Facility | $158.49 | $194.98 | $218.78 | |
BCBS
| Professional | $53.70 | $89.13 | $173.78 | |
Cigna
| Facility | $125.89 | $125.89 | $125.89 | |
Cigna
| Professional | $77.62 | $199.53 | $288.40 | |
United
| Professional | $50.12 | $128.82 | $323.59 |