| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.10 | $112.20 | $398.11 | |
Aetna
| Professional | $87.10 | $87.10 | $398.11 | |
BCBS
| Facility | $158.49 | $194.98 | $218.78 | |
BCBS
| Professional | $43.65 | $79.43 | $177.83 | |
Cigna
| Facility | $147.91 | $151.36 | $151.36 | |
Cigna
| Professional | $104.71 | $257.04 | $512.86 | |
United
| Professional | $57.54 | $151.36 | $363.08 |